This paper reviews the decision-making challenges faced by patients with bladder cancer and the routes of implementing shared decision, and analyzes barriers (as related to patients themselves, doctors, and society) to implementation. This paper makes suggestions of spreading sharing decision-making ideas, developing decision-making aids, strengthening multidisciplinary cooperation, and extending the role of nurse specialists in decision-making guidance, so as to improve self-efficacy and quality of decision-making in bladder cancer patients, and reduce decision-making regret.