The prognosis of sarcomatoid renal cell carcinoma after surgery may have different outcomes such as clinical cure, metastasis, and recurrence depending on the tumor stage grading. Sarcomatoid renal cell carcinoma is a special type of renal cancer, which is now widely recognized as a histopathological change of renal cell carcinoma transforming to highly malignant stage. 1. Clinical cure: with early detection of lesions, timely surgical treatment, low percentage of sarcomatoid component and regular postoperative chemotherapy, some patients can achieve clinical cure after surgery. 2. Metastasis: some patients may have metastasis in lymph, lungs and other organs and tissues after surgery, which will make the treatment more difficult and even endanger their lives. 3. Recurrence: some patients may have recurrence after surgery, and they need to go to the hospital for regular checkup after surgery. In a word, the recovery of sarcomatoid renal cell carcinoma after surgery is determined by many factors, which need to be judged according to one’s own situation. It is better to consult the surgeon to be more secure.