If you already have a database installed and want to migrate to a newer version, please follow the steps described on https://www.postgresql.org/docs/9/migration.html.
The installer will prompt you several times. Take notice of the screen that prompts you for selection of components. Uncheck pgAdmin4. Install this as separate installer.
Proceed with with the installation of PostgreSQL. and choose spatial extension. After installing the base application Stack Builder will popup to install additional software. Select Spatial Extensions and select PostGIS.
It is not necessary to check Create spatial database.
To work with PostgreSQL/PostGIS there are several user interfaces. pgAdmin being one of them with a very active developer community. Every other month a new version is made available. That is the reason to install pgAdmin seperate from the PostgreSQL installation (to overcome the fact that if you want to update pgAdmin you end up with two versions..... ). pgAdmin can be found at https://www.pgadmin.org/download/pgadmin-4-windows/ (pick the latest).