Introduction: Using the robotic platform for radical cystectomy offers many advantages, and this procedure is gaining acceptance around the world. However, performing the urinary diversion by this approach requires the development of special skills, and the learning curve is yet to be determined. Combining the robotic and the open approaches may allow the surgeon to maintain the outcomes while developing the technique for the intracorporeal urinary diversion. Materials and Methods: In our present case series of seven patients, most of the patients were having T1 or early T2 disease. We present a video of a male patient, aged 59 years, with a history of recurrent urothelial bladder carcinoma with squamous differentiation (T1G3). CT shows large bladder tumor in right lateral wall. Robotic radical cystectomy and bilateral standard lymph node dissection (Da Vinci Si Surgical System®) were performed in the extended Trendelenburg position. While doing lymph node dissection, we went cranially up to the aortic bifurcation. Frozen sections of distal ureters and proximal urethras were negative. Modified Pfannenstiel incision was made to retrieve the specimens and construct the ileal neobladder and make the ureteroileal anastomosis. Incision was closed and the robot redocked to perform the neobladder–urethral anastomosis over the Foley catheter. Final histology reported urothelial high-grade carcinoma involving lamina propia, negative surgical margins, and 34 lymph nodes free of tumor (pT1N0). Results: Until the date, we have performed seven cases using this combined technique. The mean operative time was 312±44 minutes, with a mean blood loss of 132±28 mL. The time to orally allow was postoperative day 4 in all but one patient who had paralytic ileus. Another patient presented an isolated episode of fever; both complications were managed conservatively. The mean number of lymph nodes removed was 28 (14–42), and the mean hospital stay was 11±2.5 days. Foley catheter and Double-J stents were removed on postoperative day 21 after cystogram was performed showing good capacity rounded neobladder without leaking. The mean follow-up period was 58±23.45 days. Conclusion: Combining the open and the robotic approaches to create the neobladder and construct the ileourethral anastomosis offers the advantages of both procedures and improves the outcomes in the early learning curve. No competing financial interests exist. Runtime of video: 7 mins 54 secs