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Abstract The probable value of CCI and ACCI in assessing overall health before recommending and proceeding with surgery, rather than age alone. Chronological age alone may not always reflect the postoperative outcome of surgery.CCI and ACCI include in their calculation a few co-morbid conditions that we did not encounter in our patients (namely AIDS, lymphoma and leukemia). This might have affected the CCI and ACCI of our patients. Key words Charlson _ cystectomy _ outcomes |