Volume 18, Number 3Review ArticlesPerioperative Considerations in Metastatic Renal Cell CarcinomaManagement UpdateKate FlavinJim AsheadTim LaneDamian HanburyPaul NathanShanmugasundaram Gowrie-MohanPatients with metastatic renal cell carcinoma are complex, with the potential for significant complications, and require extensive pre-, peri-, and postoperative management. This article discusses, in depth, the necessary considerations in the treatment of these patients. [Rev Urol. 2016;18(3):133-142 doi: 10.3909/riu0697] © 2016 MedReviews®, LLCRenal cell carcinomaRadical nephrectomyCytoreductive nephrectomyMetastasis