Since the release of the CSCO Renal Cancer Diagnosis and Treatment Guidelines in 2013, the guidelines have undergone eight updates, significantly advancing the standardization of renal cancer management in China. Over the past year, significant progress has been made globally and domestically in renal cancer treatment, particularly in medical therapies that have influenced clinical practice. In light of this, the CSCO Renal Cancer Expert Committee discussed and revised the 2024 edition of the guidelines. At the recent 14th Shanghai Urological Oncology Academic Conference and Annual Meeting of the Chinese Anti-Cancer Association Male Reproductive System Oncology Committee (CACA-GO), Dr. Guohai Shi from Fudan University Shanghai Cancer Center provided an in-depth interpretation of the updated guidelines. Below is a summary of his insights.