There is a possibility that prostate cancer may spread during surgery, although the likelihood is low and it is recommended that patients with surgical indications undergo surgery as soon as possible. Prostate cancer is a relatively inert tumor that grows slowly, so it usually does not spread and metastasize during surgery, but extreme cases cannot be ruled out. Generally, there is no need to consider this kind of problem. When patients with prostate cancer have surgical indications and need to undergo surgery for treatment, they should actively cooperate with doctors and undergo treatment as early as possible. The treatment of prostate cancer is based on individualized treatment, which needs to be formulated according to the stage of prostate cancer and the patient’s own condition. Early confined prostate cancer can be treated with surgery, while endocrine therapy, chemotherapy or radiotherapy is the main treatment if it has already spread. It is recommended to go to regular hospitals for a comprehensive assessment of the condition and follow the doctor’s instructions to avoid delaying the condition.