Which is better, artificial bladder or long-term wearing a urine bag, varies from person to person, and can be chosen according to the needs of the required condition and the needs of the patient, both have their own advantages and disadvantages. Both the artificial bladder and the bag are ways to divert the urine flow after total bladder removal. The advantage of an artificial bladder is that it does not require a bag, but it is prone to infection and anastomotic obstruction and stones. The advantage of urinary bag is that the risk is low, the difficulty of the operation should be low, and there are fewer complications, suitable for the elderly, this surgical method is prone to infection of the stoma, stent tube dislodgement, and inconvenience of life. The specific type of surgical urinary diversion to be chosen for total bladder removal should be based on the patient’s condition, but also the patient’s age and the pursuit of quality of life.