Cancer is the third most common cause of death in people with spinal cord injury (SCI), with bladder cancer being the second most common cancer after lung cancer. It is not uncommon for bladder cancer in SCI patients to be discovered only as an advanced variant, muscle-invasive bladder cancer (MIBC), which is a very aggressive form. In these cases, only a radical cystectomy, the removal of the urinary bladder including the lymph nodes in the pelvic cavity, offers a chance of cure. Since the surgery of SCI patients with bladder cancer is associated with an increased risk, a team of researchers has compiled a list of recommendations for action to minimize the risk.