Urinary diversion is a common method of addressing urinary drainage after radical cystectomy in patients with bladder tumors. Usually a stoma is made in the abdominal wall and then a urine collection bag is worn to collect the urine. Although the tumor is well treated. In November 2011, the Department of Urology successfully reconstructed the bladder of a patient who had undergone a radical total cystectomy, removed the urine bag, and resumed a healthy life. The patient is a 54-year-old male who underwent “radical total cystectomy + ileal cystostomy on the right side of the abdominal wall” for “invasive bladder cancer” four years ago. After the operation, a urine bag was worn on the abdominal wall to solve the urination problem, and urine flowed directly from the abdominal wall fistula into the urine bag. The operation was very successful at that time, and the fistula healed well. After more than 4 years of follow-up, no tumor recurrence or metastasis appeared, indicating that the tumor was well treated. The patient’s life was saved at that time and was satisfied with the outcome of the treatment. However, the urine bag worn caused great inconvenience to life and required frequent changing of the urine bag. If the urine bag leaked, the situation was even worse. In order to have a better quality of life, the patient had the idea to remove the urine bag and return to the normal way of urination. He was referred to our hospital by a friend for consultation. The patient’s idea was simple: “Since you are very experienced in doing in situ bladder, just give me an in situ bladder and remove the abdominal wall stoma! . In reality, this is not the case. This is a difficult, high-risk surgery, and the consequences are unimaginable if complications arise. If urine reflux occurs, pyelonephritis can affect kidney function, and in severe cases, kidney failure can occur. If urine leakage and incontinence occur, the patient’s quality of life will be seriously affected. Considering the high risk of surgery, initially we did not accept the patient’s request. However, the patient repeatedly came to request the surgery. It expressed the trust in us and the desire for a natural state of life. Faced with the patient’s sincerity and the pursuit of a healthy life, we began to take this difficult problem seriously. First, we studied the patient’s condition carefully. It seemed that the tumor was well treated, but since a radical cystectomy was done, the restoration of urination by the urethra depended on the normal function of the sphincter of the urethra. Fortunately, this patient’s sphincter, which controls urination, was completely normal. Due to the complexity of the procedure, there were great risks involved. We constantly advised the patient to do more consultations, fully aware of this risk and the serious consequences in case of complications. After more than six months of consultation and careful consideration, the patient decided to have another surgery for a better quality of life. In order to make the surgery a success, we made thorough preparations and developed several surgical plans. Through the joint efforts of all the medical staff in our department and our sister departments in the hospital, we successfully performed the “bladder reconstruction surgery” on the patient and the patient recovered well after the surgery. After more than half a year of adaptation, the patient can now control urination very well. The patient has now regained a healthy, comfortable and happy life. The patient and family are very happy with this result, and we are also very pleased. This is a high-risk surgery. In addition to the difficulty of the surgery, it is also a big test for the patient’s psychological tolerance. Because it is not a risk to save a life, it is a risk for a better life. The success of the surgery was achieved through mutual cooperation and trust between the patient and the surgeon, and was the result of a harmonious doctor-patient relationship. Through this surgery, we learned that a harmonious doctor-patient relationship and a good practice environment will bring more health benefits to patients and will give doctors more confidence to perform seemingly impossible and difficult surgeries. Harmony is very important to us, and trust is very important to us. We have accepted such medical assignments, presenting ourselves with great challenges and a test of our expertise, professional ethics and team spirit. May all patients and all doctors sincerely cooperate with each other and work together to overcome our common enemy, the disease. It was confirmed by search and new that this is the first bladder reconstructive urinary stream reduplication surgery in China. Recently, we reported this surgery at the National Academic Conference of Integrative Urology in Chongqing, and it was highly evaluated by the participating experts.