Prostate cancer is common among men, especially as they age. While the average diagnosis age is 66, older men have higher chances of developing advanced prostate cancer. When diagnosed, treatments include hormone therapy, surgery, and radiation. However, older men often face other health issues that can complicate treatment. For those expected to live 10 or more years, active treatment like younger patients may be recommended. Otherwise, options like watchful waiting or active surveillance are considered to monitor the disease without immediate intervention. Hormone therapy carries risks such as high blood pressure, diabetes, heart disease, and osteoporosis. It’s crucial to balance treatment benefits against potential side effects, especially in elderly patients. Discussions with a doctor about these risks and benefits are essential for making informed decisions.