On the morning of June 30, 2014, a 101-year-old man underwent transurethral electrocision of the prostate, pneumatic ballistic lithotripsy for bladder stones, and tension-free repair of a right inguinal hernia with artificial material. The operation lasted 150 minutes. The bladder stone ballistic lithotripsy alone took 90 minutes, and the stone was blackish brown and as hard as reinforced concrete. The prostate and hernia repair took 60 minutes. The prostate was removed with 30 grams of fragmented hyperplastic tissue. After urology, anesthesiology, operating room and other departments work together, the operation was successfully completed. The old man is now recovering well, and on the night of the day of the operation, the old man was already out of bed, and his vital signs were normal.