In this study conducted by Dr. Bhoopat Bhati, a renowned urologist, the effectiveness of Open Freys Prostatectomy as an alternative treatment modality for prostate enlargement exceeding 140 grams is investigated. The case involves a male patient, aged 79, who was admitted with urinary retention. Ultrasonography (USG) revealed a significant prostate enlargement of 140cc. After achieving medical stability, the patient was recommended surgical intervention. The study aims to evaluate the outcomes and advantages of Open Freys Prostatectomy in managing such cases.