Benign prostatic hyperplasia is a common disease in elderly men, usually seen in older men over 60 years of age, with frequent urination, urgency, difficulty urinating and dribbling at the end of urination as the main symptoms. Its treatment includes wait-and-see, medication, minimally invasive treatment and surgery. Minimally invasive treatment or surgery is required if medication does not work or if the following conditions exist. These include patients with more than one episode of urinary retention, recurrent hematuria, recurrent urinary tract infections, combined bladder stones, secondary upper urinary tract effusion or impact on renal function, or combined large bladder diverticula, inguinal hernia, or severe hemorrhoids requiring relief of lower urinary tract obstruction. The current surgical treatment is based on minimally invasive transurethral surgery, including transurethral resection of the prostate (TURP), bipolar plasma resection (PKRP), and holmium laser prostate enucleation (Holep). These procedures are able to remove the enlarged prostate adenoma more completely and relieve the lower urinary tract obstruction at the bladder neck, and also have the advantage of less trauma and quicker recovery, which is especially suitable for elderly patients with advanced age and concomitant medical diseases. Our urology department is equipped with the three different minimally invasive surgical systems mentioned above, which can be selected in a comprehensive manner according to the specific needs of the patient’s condition. Minimally invasive surgery has been successfully performed on nearly 100 elderly BPH patients over 80 years of age with satisfactory overall surgical results.