There is no specific answer to how many years bladder cancer can live without surgery. It is recommended that early surgery is the best choice for patients with bladder cancer after detection. In case of T4 stage muscle invasive bladder cancer, the average survival period without surgery in this case is about ten months. For bladder cancer, after many people found it is not advanced bladder cancer, it is recommended that we must do systemic and local assessment, and also do cystoscopy to obtain pathological diagnosis results, and we should choose the appropriate surgery according to the clinical stage and pathology of the tumor and combined with the patient’s systemic condition. For early stage bladder cancer, transurethral bladder tumor electrosurgery is recommended; for relatively advanced bladder cancer, total bladder resection can be performed, so that the effective survival period after surgery is more than five years, so surgery is recommended.