A radical cystectomy is a complex procedure that involves removing one or more organs from the body. It has its fair share of risks. Oftentimes, however, it’s done because it can offer the best quality of life and chance of long-term survival for patients who have been diagnosed with bladder cancer. A radical cystectomy is considered major surgery and at least 20% of patients have complications as a result, regardless of approach. Your doctor will discuss the risks and benefits of bladder removal surgery to treat your bladder cancer. The choice of which type of reconstruction to utilize is a highly individualized decision between the patient and the doctor, and depends on a variety of factors, including the patient’s overall health, age, and extent of disease. There are advantages and disadvantages to each type of reconstruction.