I am a 65 year old male and I have been diagnosed with Stage 3 bladder cancer. They told me it may have spread to lymph nodes but they wouldn’t be able to tell until they removed some during bladder removal surgery. I am currently considering my options for treatment. I am trying to decide between 1) Bladder removal and chemo, 2) Leaving bladder in and doing chemo and radiation, 3) Leaving bladder in and doing immunotherapy. I have concerns with the bladder removal surgery so any feedback on the surgery itself would be greatly appreciated. My main concerns are potential risks and complications with the surgery. If anybody has any feedback on not removing the bladder and just doing chemo and radiation that would be greatly appreciated as well. I am also curious to see if anybody did not remove the bladder and just did immunotherapy. I am currently looking to get a second opinion from MD Anderson but I really wanted to hear from people that have experienced this first hand. Thank you for your support.