WSUS is working with a DB that size?
You need to use something like this http://www.adamj.org/clean-wsus/what-it-does.html
Don't know if it works on server 2003, 2003 is very outdated! at some point I had to upgrade to 2008 R2 to provide updates to Windows 10 clients if I'm not mistaken. Or maybe because I have KMS server and WSUS on the same machine... Now I have server 2012 and use that script to keep WSUS DB in control.
Edited by SleepyDude, 20 November 2017 - 08:33 AM.
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