With 70,000 new cases each year in the US, bladder cancer is more common than many Americans may realize. As many as half of cases are caused by smoking, and many others are caused by environmental or occupational exposure. In determining appropriate treatment, staging and diagnosis are critical. Dr. Thomas Guzzo discusses the various treatment options with host Lee Freedman, with the overall goal to preserve quality of life. As a surgeon trained in a wide variety of surgical options, Dr. Guzzo discusses the advantages of each. He also discusses urinary diversions, including the neobladder.