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Yes, not everyone is a candidate. Depends on size and shape of prostate but definitely something to consider. For those of you who might consider it, Urolift has a group of physicians they consider "Centers of Excellence" . They're required to do minimum 60 procedures annually, complete addt'l training and give "before and after" reports.  As with most medicine it's best to "go where they do it". You can google the International Prostate Symptom Score, IPSS. This subjective questionnaire can help a man assess the level of his BPH.