@dungeness Great question. I have an outstanding urologist at Pac Med in Seattle (Cantrell). He does TURP. I would have used him but my prostate is so large (200g) I am not a candidate for TURP. My urologist was aware of only one doctor in Washington who does HoLEP, located in Mill Creek. When I started researching I decided to also research the doctors and facilities around the country who had outstanding reputations around HoLEP. That is how I ended up at the Mayo Phoenix with Briggs and Humphries. They are the gold standard of HoLEP for very large prostates. My wife and I were fortunate to be able to take a week down in Scottsdale and it was the right decision for us. Yours will be an interesting decision. You qualify for TURP. HoLEP is probably a little easier on you but harder to find. Good luck with the process.