Background: Occupational exposure plays a huge role in the epidemiology, pathogenesis and prevalence of kidney cancer (KCa) and bladder cancer (BCa) worldwide. Objective: The aim of this study was to analyze qualitatively and quantitatively the association between occupational exposure and risk of KCa and BCa. Method: We identified peer-reviewed articles published in English by searching PubMed, Embase, Surveillance, Epidemiology, and End Results (SEER) and Cochrane databases. We selected articles published between January 2018 to May 2019. We summed up all relative risk estimates to ensure accuracy, comprehensiveness and maximize statistical power given the low absolute occupational risk of KCa, occupational risk of BCa and standardized incidence ratios (SIRs). We reported this systematic review and meta-analysis in accordance with the Preferred Reporting Items for Systematic Reviews and metaanalyses (PRISMA) checklist. Quantitative analyzes was performed using Comprehensive Meta-Analysis version 3 (Biostat, Inc, Englewood, New Jersey, USA). Results:We found no significant association between occupational exposure and KCa (OR 1.04, 95% CI: 0.94-1.34), but there was a significant association between occupational exposure and BCa (OR 1.54, 95% CI: 1.44-1.75). Conclusion:From the result of our qualitative and quantitative analysis there was no significant association between occupational exposure and KCa whereas there was a significant association between occupational exposure and BCa.