Prostate enlargement is a physiological process that occurs in men from the age of 40 under the influence of androgens. 50% of men in their 50s and 60s have pathological prostate enlargement, and the prevalence can be as high as 90% at the age of 80. Therefore, prostate enlargement has become a common disease in older men. In the early stages of prostate enlargement, there is no obvious effect on the patient’s urinary symptoms, so doctors generally advocate medication to improve urinary symptoms, and there is no need for patients to undergo surgery. However, if the symptoms do not change with long-term medication, or even get worse, if the prostate enlargement seriously affects the patient’s urinary function and quality of life, or if complications arise: hematuria, bladder stones, urinary tract infections five or six times a year, hydronephrosis, or even declining kidney function, the patient should receive expert advice and choose surgery in a timely manner. However, some of these patients are over 70 years old and cannot tolerate surgery because of their poor health condition. Some of them have severe cardiovascular disease and cardiac insufficiency; some have chronic bronchitis and emphysema, causing pulmonary insufficiency; some have severe renal insufficiency, etc., and they miss the best time for surgery. There are also some patients who are reluctant to operate for fear of losing sexual function and urinary incontinence after surgery. In fact, with the advancement of medicine, most hospitals have abandoned the traditional more traumatic open surgery and are performing transurethral prostate removal or laser vaporization surgery, which has no skin incisions and allows patients to recover quickly after surgery. The most important thing is that it is the best method of surgical treatment for prostate enlargement in the world; laser surgery, which also involves removing the enlarged prostate by laser through the urethra, is much less invasive. The actual surgery is not terrible, so remind the elderly prostate enlargement patients: choose the surgery, when it is time to take a shot.