Fifty-four year old man can’t get an erection, may be erectile dysfunction, can be adjusted by changing bad habits, psychological treatment, medication, surgical treatment and other measures. 1. Change bad habits: quit smoking and drinking, avoid staying up late, go to bed early and get up early, and live and eat regularly. 2. Psychological treatment: enhance self-confidence, relieve mental stress, avoid mental tension, and maintain a positive and optimistic attitude. 3. Drug treatment: you can choose sildenafil, vardenafil and other drugs for treatment, if there is a lack of androgen, should be timely supplement such as testosterone tablets. 4. Surgery: If the symptoms cannot be improved by the above measures, surgery such as penile prosthesis implantation can be considered. To summarize, fifty-four year old man erection does not come, after excluding physiological factors, should promptly consult a doctor, all drugs need to be used under the guidance of a professional doctor.