The 2025 ASCO Genitourinary Cancers Symposium (ASCO GU) was held from February 13 to 15 in San Francisco, California, bringing together leading experts and researchers in the field of genitourinary oncology. Among the key highlights was the final overall survival (OS) data from the TALAPRO-2 trial, presented by Dr. Neeraj Agarwal from the Huntsman Cancer Institute (HCI), University of Utah. The study drew widespread attention as it not only addressed a critical gap in first-line treatment for metastatic castration-resistant prostate cancer (mCRPC) using a PARP inhibitor in combination with next-generation hormonal therapy (NHT) but also reinforced the growing role of precision medicine in prostate cancer treatment.