Benign prostatic hyperplasia (BPH) is currently the most common disease in urology and a serious problem for middle-aged and elderly men. lower urinary tract symptoms caused by BPH are mainly manifested as storage phase symptoms, voiding phase symptoms, post-void symptoms and related comorbidities. Surgical treatment is an option when the lower urinary tract symptoms of severe BPH have significantly affected the patient’s quality of life. These elderly patients often have a combination of cardiovascular and cerebrovascular disease, so fellow urologists have been working hard to find less invasive and more effective treatments. The surgical methods include transurethral resection of the prostate (TURP), transurethral resection of the prostate (TUIP), transurethral vaporization of the prostate (TUVP), transurethral plasma bipolar resection of the prostate (TUPKP) laser prostate surgery, and open prostate removal. Currently, TURP is considered the “gold standard” of BPH treatment. Transurethral resection of the prostate is a new type of prostate surgery that has recently been developed. The main laser prostatectomy procedures are holmium laser, red laser, 1470 laser, 980 laser, green laser, etc. There is also the application of plasma electrodes for prostatectomy, which is similar to open prostatectomy, but the laser fiber used is like a “finger in the urethra”, scraping the entire prostate and retrograde to remove it from the surgical envelope. The entire prostate gland is scraped open and removed retrogradely from the surgical envelope, pushed into the bladder, and then the prostate tissue is crushed and aspirated from the bladder using a tissue crusher. Alternatively, the gland can be pushed into the bladder neck and aspirated out of the body by means of electrodissection. Compared to conventional TURP, prostate enucleation has the following advantages: (1) True intracavitary enucleation along the surgical envelope, as the hyperplastic gland is completely removed, the postoperative urinary flow rate improves significantly and the patient’s postoperative urination improves significantly; (2) Complete resection, prostate enucleation can remove the maximum amount of hyperplastic prostate tissue, and the chance of recurrence after surgery is small; (3) Minimal bleeding, during the enucleation process (3) minimal bleeding, during the enucleation process, the blood vessels and venous sinuses of the prostate can be fully closed, so that the operation can be performed in a relatively bloodless field, making the operation safer; (4) further reducing the occurrence of complications, as the stripping is complete and the boundaries are clear, reducing the chance of intraoperative misinjury. (5) Good patient tolerance, rapid recovery, and low incidence of postoperative complications; (6) No water toxicity with saline irrigation; (7) Faster and safer than TURP for larger prostates. (8) Holmium laser can simultaneously treat bladder stones combined with BPH. A large number of clinical studies have demonstrated that prostate enucleation is significantly better than conventional TURP in terms of both therapeutic efficacy and safety. The effectiveness and safety of the enucleation of the prostate has been confirmed by the urological community, especially for patients with large prostate or advanced prostate, and shows good clinical application prospects.