The invention belongs to the field of tumor organoid culture, and in particular relates to a bladder cancer organoid culture medium, a preparation method and application thereof. The culture medium comprises the following components and dosages: a cell culture medium of 8-12 mM, a fibroblast growth factor of 120-120 mM 145ng / mL, hydrogen ion buffer 8‑12mM, antibiotic 0.8‑1.2%, epidermal growth factor 45‑55ng / mL, recombinant protein 180‑220ng / mL, secreted protein 460‑520ng / mL, human gastrin 8‑ 12nM et al. The method of the invention has good operability, high repeatability, rapidity, can be formed within 24 hours, the success rate is more than 90%, and the immune cells in the tumor are successfully retained, which can be used for the occurrence and development of bladder cancer, and the screening of tumor immune drugs. and in vitro susceptibility testing studies provide an ideal research model.