According to statistics, at present China’s older than 60 years of age is close to 20%, 10 years later this figure will reach 30%, immediately China is going to enter a no compromise elderly society. About half of the elderly men, the proportion of prostate enlargement of 65%, think about it, this is a big number, so to care for the elderly men, we can not ignore the prostate problem. The biggest problem of prostate enlargement is that it causes difficulty in urination, which leads to a series of life problems and ultimately affects the quality of life. Many of these patients with severe hyperplasia have to rely on surgery to solve the problem, so choosing an appropriate surgical approach is crucial. What is the ideal surgical approach? This is a very specialized question. We always talk about minimally invasive, thinking that the size of the surgical incision determines the size of the trauma, but no, this is a superficial understanding of minimally invasive. Minimally invasive is a concept, an advancement of the times, requiring the most advanced equipment that medicine can provide in this century, the most specialized surgeons, and the integrated use of various techniques to obtain the maximum benefit at the minimum cost. So back to prostate surgery, what makes an ideal surgery? First of all, the surgical incision is minimal, or none, then basically transurethral surgery can meet this requirement. Secondly, to remove as much of the hyperplastic gland as possible to prevent recurrence, then enucleation can fulfill this. Thirdly, bleeding should be less, operation time should be shorter, and postoperative recovery should be faster, then holmium laser is a good choice, with relatively minimal bleeding, short operation time, and discharge from the hospital in 1 to 2 days after the operation. In the end, Holmium laser is the best choice because of its low postoperative interference with the body, especially for the protection of sexual function. The author was the first to carry out this technology in the province, and has accumulated 100 cases, with a comprehensive 20-year experience in prostate surgery, satisfactory surgical results, leading technology in the country, and practice makes perfect, which is a mature technology that can solve most of the pain of patients with severe prostate hyperplasia.