Aim: to assess the incidence of sexual side effects following surgical treatment of BPH in Indian population. Materials and methods: The present observational study was conducted in the department of Urology, Indira Gandhi Institute of Medical Sciences Sheikhpura, Patna, from January 2018 - June 2019 among 120 patients diagnosed with BHP. Patients diagnosed with symptomatic BPH and willing for surgical treatment were included in this study. Patients received either of following surgical treatment: TURP/ open prostatectomy to treat BPH Results: Out of total 120; majority 105 patients treated with TURP and rest 15 patients with open prostatectomy. Majority of the patients, who underwent TURP and open prostatectomy were in the age group between 60- 69 yrs. Only 2 out of 15 (18%) patients treated with open prostatectomy complained of erectile dysfunction (ED). All the 8 patients who had sexual intercourse complained of retrograde ejaculation. Conclusion: This study suggests that before offering surgical treatment- TURP/ open prostatectomy, physician should discuss possible sexual side effect of these procedure. Otherwise relief from LUTS will not be translated into satisfactory improvement in QoL. LUTS affects only one individual while sexual dysfunction affect couple.