The treatment of benign prostatic hyperplasia is divided into three aspects: waiting for observation; drug treatment; surgical treatment. Regardless of the treatment method, it should follow the treatment principles include the following three aspects: first, to first improve the lower urinary tract symptoms and quality of life as an important basis for the choice of treatment measures; second, should be explained to the patient at the same time, the efficacy of various treatment methods as well as the side effects; third, the patient’s wishes should be respected to the family and the patient to account for the advantages and disadvantages of the various treatments, and respect for the patient’s wishes to choose the treatment method. Third, the patient’s wishes should be respected. The following cases need to be strongly recommended to patients for surgical treatment: patients with moderate to severe BPH, if the lower urinary tract symptoms have significantly affected the patient’s quality of life, this situation can be selected for surgical treatment, especially those who are not good for drug treatment or patients who refuse drug treatment. 1.Refractory urinary retention, i.e., urinary retention is generally characterized by the inability to succeed after removal of the catheter. 2.Recurrent urinary tract infections, i.e. recurrent infections mainly caused by BPH. 3.Recurrent hematuria. 4, Increased residual urine due to BPH, which then causes secondary damage to the upper urinary tract, including with or without renal impairment. 5, BPH combined with bladder stones. Other indications for surgical treatment include BPH combined with a large bladder diverticulum, inguinal hernia caused by prolonged dysuria, severe hemorrhoids or prolapse. Surgery should be considered in these cases when conservative treatment fails to relieve the lower urinary tract obstruction to achieve a therapeutic effect.