Prostate cancer is the most prevalent cancer in men. As such, a variety of treatments from different modalities have been used against it. However, prostate cancer is not typically a lethal cancer, with many patients dying with it rather than from it. This characteristic makes it difficult to treat since doctors are left with a conundrum of whether to treat aggressively, treat conservatively, or simply to monitor disease progression. This brief review aims to discuss the treatment options and strategies for localised prostate cancer.