Do I have to have surgery for urinary incontinence in the elderly? The principle of treatment starts with lifestyle changes and pelvic floor muscle training, followed by medication, and finally surgery. However, for some patients who have had poor results with the previous treatment, or who have severe incontinence, surgery is required as early as possible. And a very systematic evaluation should be done before surgery. Especially for the mixed incontinence mentioned earlier, it is important to address the urge incontinence first so that the treatment is effective. This is because in some patients the symptoms of urinary urgency are controlled and the symptoms of urinary incontinence are also reduced. At the same time, it is found that there are no comorbidities, whether there is pelvic floor organ prolapse, etc., and if so, it is also treated with simultaneous or staged surgery. It is highly recommended to do pelvic floor muscle training when urinary incontinence occurs, but is pelvic floor muscle training effective in the elderly? This needs to be evaluated by a doctor first to see the extent of the condition, divided into mild to moderate severity, if mild to moderate, try to first through training and medication treatment, behavioral training is effective for the initial early onset, or the same period. If severe, behavioral training will not be as good, but also according to the subjective wishes of patients, because some people are not willing to surgery, behavioral training can be carried out, through the training will be more or less improved, but the effect is not good, or the onset of incontinence for a long time, more than ten years, it is recommended that surgery better results. For older people, pelvic floor muscle training and surgery can be carried out at the same time. Speaking of surgery many people are more or less resistant, so in fact, what are the methods of surgery for urinary incontinence? What is the effect? First of all, we should not be afraid of surgery. Urinary incontinence surgery is minimally invasive surgery, the operation is also relatively simple, the treatment effect is also very good, the hospital stay is very short, the vast majority of patients, complications are relatively small. In the pre-treatment effect is not good, or surgery should be treated. The main methods are TVT/TOT, both have similar effects and can effectively relieve the symptoms of urinary incontinence. TVT appeared early, 18 years, the first case of TVT surgery in 1997, the effect is very precise, sure, as the gold standard of stress urinary incontinence. For patients with more severe urinary incontinence, the results of TVT are better than TOT. Both of these methods are minimally invasive procedures, and the wounds are small and invisible. And you can say that you can see immediate results after the surgery, and you can be discharged from the hospital in one day after the surgery, and the results are usually well maintained. Finally, I would like to advise you that even after surgery, you should do pelvic floor muscle training to consolidate muscle function. You also need to pay attention to lifestyle changes, drink less stimulating drinks, and lose weight if you are obese. Only in this way can we achieve the most optimal results, so that embarrassment will leave us and confidence will return to us.