Total prostatectomy for prostate cancer should mean radical prostatectomy for prostate cancer. Whether radical prostatectomy is recommended for prostate cancer patients over 75 years of age depends on the specific condition of the patient. Prostate cancer refers to the epithelial malignant tumor occurring in the prostate gland, which is the most common malignant tumor in male genitourinary system. Radical prostatectomy is the most effective treatment for prostate cancer. If the patient is in good physical condition, has no other chronic diseases and the prostate cancer is in the early stage, radical prostatectomy is recommended, but if the patient is in poor physical condition, has cerebrovascular and other chronic diseases and the prostate cancer is in the middle or late stage, radical prostatectomy is not recommended. If the patient cannot undergo radical prostate cancer treatment, endocrine therapy, chemotherapy, radiation therapy and other comprehensive treatments are generally recommended to prolong the survival period and improve the quality of life of the patient. It is recommended that prostate cancer patients over 75 years old should choose the most suitable treatment plan for their own condition under the judgment of doctors in time, and actively cooperate with doctors to avoid delaying their condition.