For more than thirty years, minimally invasive surgery of the prostate has been transurethral electrodesiccation of the prostate. Although this surgery has the advantages of precise operation, less bleeding, high efficiency, less damage to the patient, and fast postoperative recovery compared to open prostate removal surgery, it still has the disadvantages of bleeding, water toxicity syndrome, and slow postoperative recovery. With the aging of the population, the age of prostate hyperplasia surgery patients is showing a trend of advanced age, and with The population of elderly men with cardiovascular disease, cerebrovascular disease and other concomitant diseases that coexist with prostatic hyperplasia is increasing, and many patients have also been taking anticoagulant drugs such as aspirin. People have put forward higher requirements for prostatic hyperplasia surgery safety and minimally invasive, and everyone has been looking for a better surgical method than prostate electrosurgery. After nearly 30 years of development, medical laser equipment and clinicians’ skills in laser surgery have made great strides, especially in recent years, to provide the potential for safer, minimally invasive prostate surgery. In Canada, laser surgery as a percentage of prostate surgery increased from 3.78% in 2007 to 7.56% in 2011, a trend that is still developing. In the United States, too, the total number of prostate enlargement surgeries declined in previous years due to the development of pharmacological treatment for prostate enlargement and to avoid complications associated with transurethral electrodesiccation, but this year, with the introduction of safer laser prostate surgery, the proportion of transurethral electrodesiccation for prostate surgery has declined further and the number of patients undergoing laser surgery has increased significantly. The number of cases of prostate enlargement is increasing every year. Why is laser surgery better than transurethral prostate surgery? The first point is that the laser device is effective in stopping bleeding. The prostate is a rich blood supply organ, although electrodes can also stop bleeding, but the effect is not as good as the laser, it is difficult to avoid bleeding during and after surgery, and the dependence on the doctor’s skills is high, for the large gland surgery time is also long, bleeding is also correspondingly more, patients need to be bedridden, indwelling catheter and stay in the hospital for a long time to observe. Our Tongji Hospital is the first in China to use a new 1470nm semiconductor laser produced in Wuhan, with good hemostasis and cutting function, fine cutting and complete hemostasis in the surgical observation, the surgery is almost completely in the state of no bleeding, with the latest anesthesia adopted by our hospital, the surgical patient at the time of the completion of the surgery, can be to do the same gastroscopy, from their own The patient can move from the operating table to the operating car and return to the ward, drink water that night, eat the next day, and remove the catheter, thus eliminating the pain of long-term bed rest after transurethral resection surgery. The second point is that our new surgical approach minimizes the likelihood of recurrence after surgery compared to electrosurgery, which requires reoperation. We know that the traditional open surgery to remove the enlarged prostate tissue was the most thorough, but the surgery was the most traumatic. In our current surgical approach, the interface for surgical removal of prostate hyperplasia is the same as that of open surgery, and even open surgery only removes the hyperplastic gland under blind vision by feel, while our laser surgery separates the hyperplastic gland along the level of the preserved prostate envelope under direct vision, completely peeling away the hyperplastic tissue intact, leaving minimal glandular tissue and thus less chance of recurrence. To give you a better understanding of the use of lasers in prostate surgery, we have also included an article we wrote ourselves that we hope will be helpful.