Robot-assisted radical cystectomy has an increasing use as a minimally invasive technique and noninferior to open technique. The goal in robot-assisted radical cystectomy, is to reduce pre-procedural morbidity and provide earlier return of normal activity while maintaining oncological equivalance Robot-assisted radical cystectomy has the potential to continue to evolve. Although the technique currently appears to be only a minor contribution, it has the potential to increase cystectomy utilization, reduce blood loss and possibly gastrointestinal complications. In a robot assisted approach, a daVinci 3 or 4 arm system may be used. A 0 and 30-degree lens is required. The required robotic instruments are monopolar robotic scissors, maryland bipolar, forceps, and two needle drivers. In addition, an endovascular GIA stapler, Hem-o-lok clips a suction-irrigator, and an atraumatic grasper are needed. The surgeon should orient himself/herself to the pelvic anatomy by identifying specific landmarks It is more beneficial to perform extended PLND before cystectomy as the anatomical landmarks are still present. Depending on the disease, it may be chosen to remove the neurovascular bundles or to perform a nerve-sparing procedure.