The patient, Ma Yuliang, male, 62 years old, had been diagnosed with bladder tumor in many hospitals in the province for three years due to hematuria. Due to his leukemia, poor coagulation function and large tumor, many hospitals failed to give surgery, but the tumor caused very serious bleeding, in order not to let the old man suffer greatly, he chose our hospital to perform minimally invasive treatment, our hospital’s latest introduction of the most advanced international German 980 nm red laser equipment. It is understood that Director Wu Honglin has successfully completed dozens of cases of outpatient non-anesthesia minimally invasive treatment of bladder tumors with the application of the British SP ultra-pulse plasma, and has accumulated some clinical experience, facing patients with bladder tumors suffering from leukemia, increasing the risk of surgery, once the bleeding is unable to carry out rescue, in order to ensure patient safety, the introduction of the German Nano Red Laser, its most prominent advantage of good intraoperative hemostasis, direct vaporization of tumors, better than Plasma, facing the inability of anesthesia, Director Wu Honglin decided to outpatient and remove the tumor without anesthesia. The surgery took only 30 minutes to completely remove the 125px diameter tumor, the patient did not have any pain, almost no bleeding was carried out, the patient could urinate immediately after the surgery, no bleeding, the patient was very happy.