Add to ORKGBladder cancer is a disease characterized by an abnormal growth of cells in the urinary bladder. Potentially, it can infiltrate nearby tissues and metastasize to distant organs. It affects more than 3 million people, with over 430,000 new cases a year. Environmental risk factors have significant impact on the development of bladder cancer, with tobacco smoke being the single most significant risk factor. Arsenic, nitrates, and chlorine in drinking water are also potentially associated with an elevated risk of this disease. In this paper, we review most significant environmental risk factors for primary bladder cancer and analyze prevention methods