Despite the development of optic cystoscopy and new imaging techniques, the diagnostic process for bladder cancer is still a matter of debate and imaging management remains a work in progress. This article focuses on imaging of bladder cancer, from cornerstone modalities to new proposals and ideas. The discussion aims to point out and to stress whether techniques are sufficient in the diagnosis, staging and treatment evaluation of bladder cancer, as well as during the follow-up. Advantages, pitfalls and limits of every imaging method used or proposed will be analyzed, not to find 'the truth', but to allow the best optimization of the diagnostic tools available today in clinical practice.