In 2024, an estimated 300,000 individuals received a prostate cancer diagnosis in the United States. It is thus vital that oncologists stay abreast of current guideline recommendations for treatment selection in the varied clinical scenarios and monitoring testosterone levels, particularly in advanced disease. Moreover, the identification, mitigation, and management of treatment-related adverse events from ADT are critical yet often inadequately addressed. Effective management of advanced prostate cancer requires a collaborative approach involving shared decision-making between clinicians and patients. In this educational series, expert faculty review best practices for treatment of advanced prostate cancer to optimize both clinical outcomes and patient quality of life.