From these data, we presumed that provider reluctance to perform continent diversions may relate to a perceived increase in morbidity and mortality outcomes secondary to the increased complexity and magnitude of these operations. Confronting this perception may decrease provider reluctance to advocate for continent diversions when counseling bladder cancer patients about reconstructive options. Herein, we sought to determine whether continent urinary diversion is associated with an increased risk of medical or surgical postoperative complications after radical cystectomy.