A questionnaire about informed consent of operative death was mailed, and a total of 38 institutes answered the questions. Informed consent of operative death was likely to be obtained from only when the operation had been considered at high risk. Most of the urologists surveyed never obtained such informed consent for transurethral resection, prostate biopsy, extracorporeal shockwave lithotripsy, and nephrostomy. About half of them did not consider it necessary to explain the operative death of these procedures to patients in future. The percentage of death was informed to patients only in one institute. Japanese urologists seem to obtain informed consent of operative death at their discretion, according to the risk of each procedure. These results will provide important information about informed consent of operative death.