@Collins48 - There are many many of us on here who have been through bladder removal surgery. Many of us were very active before an are still very active post surgery. I did not go through a chemo regiment or radiation which I am sure is more taxing to the body but I am sure there are others who have and who will "chime" in. You have come to the right place for answers from those of us who know what the bladder cancer journey looks like and how to best navigate it. Your father is very fortunate to have you beside him during this journey and looking for the positives. There are 3 diversion options but I am not a medical professional and do not know if they are all available to someone who will have chemo and radiation also. I will say that being in good health before in my opinion does make recovery and follow up easier. Also a good outlook that you will get through this and come out on the other side. I had RC with a bag in 2014 but I was stage 1 high grade and the only chemo I had was during the TURBT procedures. I was 63 then and am pushing 72 very hard - 2 weeks away now. I am a very active person and live a great life post RC. I suggest that you find others on here who have had positive experiences who may be able to speak with your father to answer questions that he has as well as you. I also highly suggest that if he chooses to have bladder removal and a diversion, that he finds a surgeon who is very experienced with the chosen diversion. Ask any and all questions as this is not an easy surgery and being well prepared is important. Sometimes I think it is just as hard to watch someone go through a challenge such as cancer as to be the patient. I am sure you will hear from others who can provide more specific information than I am able. Please keep us updated on how you father is doing. My best to you both. Linda Urbanski (moderator, Bladdercancer.net team member)