 Background In Denmark, the incidence of patients with bladder cancer is approximately 1800 cases annually; 75 of the cases are men. The disease is most frequent among the 50 to 80-year-olds and most cases are approximately 70 years old 1. Recent studies have shown that the incidence of bladder cancer is increasing in Europe2. Cystectomy is one of the most comprehensive surgical procedures in urology3,4. In Denmark, the average post-operative length of stay LOS was 19 days in 2005; the hospital mortality rate was 3.7 and 58 had a complicated course of disease. The mortality was comparable to experiences abroad 3,5. LOS is, however, long compared with high-volume hospitals with well-defined clinical patient pathways 1,5,6. Major surgery causes pain and stress-induced catabolism leading to an unwanted metabolic and inflammatory response, impaired organ function and risk of thrombosis. These conditions increase the risk of losing muscle mass and reduce the activity level 2. Overall, the above-mentioned circumstances delay the rehabilitation process. The concept fast-track surgery is a multi-modal and inter-professional approach to reduce post-surgical morbidity and optimise post-surgical rehabilitation 7,8. 