Telomere maintenance genes play an important role in maintaining the integrity of the telomere structure that protects chromosome ends,and telomere dysfunction may lead to tumorigenesis.Genetic variation in telomere maintenance genes has been confirmed.Cumulative evidence shows that the difference of telomere length and stability among the individual depends on the genetic variants of telomere maintenance genes.Genetic variants in telomere maintenance genes may affect telomere length and stability,thus the increased cancer risk.This review intends to summarize the association of genetic variants in telomere maintenance genes with bladder cancer risk. Telomere maintenance genes play an important role in maintaining the integrity of the telomere structure that protects chromosome ends, and telomere dysfunction may lead to tumorigenesis. Genetic variation in telomere maintenance genes has been confirmed. Cumulative evidence shows that the difference of telomere length and stability among the individual depends on the genetic variants of telomere maintenance genes.Genetic variants in telomere maintenance genes may affect telomere length and stability, thus the increased cancer risk. This review intends to summarize the association of genetic variants in telomere maintenance genes with bladder cancer risk.