This is a protocol for a Cochrane Review (Intervention). The objectives are as follows:

To determine the best surgical management of upper tract transitional cell carcinoma.
The following comparisons are pre‐stated:
1.Whether open radical nephroureterectomy is better than laparoscopic nephroureterectomy

2.Whether nephroureterectomy is better than conservative localised resection of ureter, where indicated

3. Whether open surgical resection (local or nephroureterectomy) is better than endoscopic resection and surveillance, where indicated

4.Whether open surgical method of handling lower end of ureter is better than endoscopic or laproscopic assisted methods