(1) A recent Cochrane review found that while urodynamic tests changed clinical decision making, there was no clear evidence it led to better patient outcomes. However, the review had limitations as it only included two small studies. (2) Urodynamic evaluation can identify underlying conditions like detrusor overactivity that may not require surgery. Avoiding unnecessary surgeries through urodynamics could save significant costs. (3) Urodynamic tests can provide parameters to predict surgical success or complications and guide surgical technique selection, such as using retropubic slings for stress urinary incontinence patients with intrinsic sphincter deficiency.