Benign prostatic hyperplasia (BPH) is one of the most common conditions affecting men and is associated with lower urinary tract symptoms/LUTS. BPH therapy includes active monitoring, drug therapy, and surgical treatment. When complications of clinical BPH develop in the form of bladder outlet obstruction due to benign prostate obstruction, drug therapy is often insufficient and there is a need for surgical treatment. Surgical methods include transurethral resection of the prostate, transurethral enucleation and resection of the prostate, transurethral incision of the prostate, open prostatectomy, transurethral vaporization of the prostate, transurethral vaporization-resection of the prostate, transurethral microwave thermotherapy, transurethral ablation with needle, interstitial laser coagulation of the prostate, Holumium laser enucleation of the prostate and Potassium-titanyl-phosphate laser vaporization of the prostate. Although transurethral resection of the prostate is considered the gold standard and a safe and effective method in the surgical treatment of BPH, it can have certain complications such as bleeding, transurethral resection syndrome, and incomplete resection. With the development of new technologies such as laser techniques, enucleation techniques and bipolar transurethral resections, these shortcomings have been reduced. Numerous short-term and long-term studies comparing transurethral resection of the prostate with other methods have been conducted, certain advantages and disadvantages of certain techniques have been identified. Still, open prostatectomy and transurethral resection of the prostate are method of choice for treatment of patients with BPH.