This report details the activity and outcomes of a series of design led workshops involving stakeholders of Urology services in NHS Scotland. Participants came from 20 specialists’ areas and 6 different NHS Board areas, giving both a broad geographic and functional reach. The first step for the workshops was to identify common Urology patient symptoms, noting their importance. Issues were mapped for each symptom and areas to focus on agreed. Further discussion around these focus areas led to suggestions for sustainable improvement to Urology services. These ranged from additional targeted patient information to support self-management and opt in for treatment, virtual consultations, and dedicated vetting in secondary care, to direct referral for diagnostic tests from primary care and nationally accepted referral guidelines which are easy to access and follow and can be adapted considering local variation.