The invention discloses a system for predicting the chemotherapy sensitivity of a patient with bladder cancer. The system comprises a gene detection device, an immunohistochemical detection device anda data processing device, wherein results of the gene detection device and the immunohistochemical detection device are analyzed and processed by virtue of the data processing device; the gene detection device comprises a DNA extraction kit, a primer group, a PCR amplification instrument, a PCR purification kit, a sequencer and an electrophoresis instrument. According to the system, correspondingspecific primers and antibodies are designed and prepared by virtue of bladder cancer mutant genes including FGFR3, HRAS, TERT promoters, TP53, TSC1, PIK3CA and HER2 as well as abnormal expression proteins including EGFR, ERCC1, CK20, BRCA1, CD44, RRM1, PD-L1, TUBB3, Ki67 and CD71, so as to meet the detection requirements of molecular pathological indexes; and the system is simple, convenient, economic and used for guiding the implementation of neoadjuvant chemotherapy, and the prediction accuracy of the chemotherapy sensitivity of the bladder cancer can be greatly improved.