Defining the curriculum for the training of medical specialists is the central structural element for the future of a medical discipline. This is not only important for defining the essential skills and knowledge elements of future urologists but also defines the position of urology as a speciality within the healthcare system, sets the rules for the interaction and separation of urology from other specialities and very often sets the limits for medical and surgical charges by urologists. The revision of the federal curriculum for medical specialists which is currently being prepared will therefore be instrumental in defining the future of urology in the German healthcare system.