Prostate cancer 4+3 is more serious than 3+4, and this is based on the Gleason score, which is made up of two numbers added together, the first representing the score of the most common cancerous structures in the prostate tissue, and the second representing the score of the secondary structures. The Gleason score for prostate cancer of 3+4 versus 4+3 is specifically analyzed as follows: 1. For 3+4=7 points, the malignant degree of prostate cancer of this kind of patients with 7 points is not high, which belongs to the medium-low-risk level of prostate cancer, as long as active surgical and medication treatments are taken, there are very good therapeutic effects, and the 5-year survival rate can be close to 90%, and the prognosis is relatively good. 2. For 4+3=7 points, this kind of patients with 7 points have poor differentiation of prostate cancer, which is moderately differentiated cancer with higher malignancy, at this time, they should undergo radical prostatectomy and pelvic lymph node dissection and orchiectomy, after which they should continue endocrine therapy and chemotherapy, with relatively poor prognosis. Prostate cancer is a common urological tumor in elderly men, which should be detected and treated as early as possible. Due to the relatively slow development of prostate, the prognosis of early prostate cancer after surgical treatment is relatively good, and it is suggested that patients should consult the doctor in time, and should not be negligent so as not to cause any delay in their condition.