Radical cystectomy is the most important surgical procedure for the treatment of invasive bladder cancer, but post-surgical urinary tract reconstruction, or urinary diversion, is relatively new to patients. The urinary diversion method varies from patient to patient and includes the following procedures. Channeled uncontrolled urinary diversions, including ureteral skin ostomy and ileal cystoplasty. Bricker’s cyst is a procedure in which the ureter is anastomosed to a selected section of intestine and the other end of the intestine is stented to the skin, again requiring a bag to be carried for life. These two procedures are relatively simple and have relatively few complications, but the obvious disadvantage is the patient’s lower quality of life after surgery. Orthotopic neocystectomy involves the reconstruction of a new bladder using the ileum, colon, cecum or stomach (in most cases the terminal ileum is chosen), which is anastomosed to the ureter and urethra, respectively. The advantages of this urinary diversion approach include controlled, low-pressure, high-volume, anti-reflux, no need for abdominal wall stoma, and significantly improved quality of life. This procedure has been increasingly adopted by physicians and patients in recent years as medical advances and patients’ quality of life requirements have improved. There is no uniform standard on how to choose the urinary diversion method after total cystectomy, and it is generally necessary to consider all aspects of the patient’s tumor status, physical condition and the patient’s wishes in order to develop an appropriate diversion method.