Benign hyperplasia is the cause of prostate gland enlargement in elderly males. Autopsy histology reveals that cases occur in the fourth, sixth, and ninth decades at rates of 8%, 50%, and 80%, respectively. The surgical procedure of trans-urethral prostate resection has been scheduled for an early date. The initiation of early ambulation following prostate surgery has been found to decrease the likelihood of developing deep vein thrombosis and its related complications, including pulmonary thromboembolism, while also enabling the patient's timely discharge. Van Gessel et al. reported that levobupivacaine has a comparatively lower tendency to cause hypotension than bupivacaine, which suggests that it may be more hemodynamically stable. The present investigation employed levobupivacaine and fentanyl as anesthetic agents for the purpose of urethral prostate resection. The researchers discovered that the administration of 25 mcg of intrathecal fentanyl in combination with (12.5 mg) of isobaric levobupivacaine during transurethral prostate resection results in an expedited onset and prolonged duration of both sensory and motor block. There were no statistically significant differences observed between the two groups in terms of hemodynamic variables or complications.