Circumcision has been documented for more than 450 years. The common procedures now are circumcision, cuff circumcision, laser circumcision and circumcision sleeve. The basic method is evolved from the traditional circumcision. Although the improvement of surgical methods and surgical techniques have obviously increased the surgical effect and safety, complications such as bleeding, injury to the head of the penis, external urethral opening and penile skin and narrowing of the external urethral opening and infection can still occur due to the adhesion of the foreskin to the head of the penis and rough operation, etc. . With the progress of surgical methods, the improvement of people’s living standards and the strengthening of aesthetic awareness, surgery with good efficacy, few complications and beautiful appearance has become the goal of realistic surgery. The specific conditions of circumcision and prepuce seen clinically are diverse, and the uniform implementation of circumcision is bound to lead to a number of complications and poorer outcomes due to the defects of the procedure. Cuff circumcision has the following advantages over circumcision: 1. The surgical design is reasonable, because only a section of the skin of the inner and outer plate is removed, instead of the whole skin layer to avoid damage to the larger blood vessels of the superficial fascia, such as the superficial veins of the dorsal penis, and to preserve the intact endothelial tissue, and even to preserve a large number of lymphatic vessels, which significantly reduces secondary bleeding and edema after surgery. 2, the incision design is reasonable and flexible, two circular incision lines are designed, the next one is the base line of excision, and the upper one can be adjusted according to the amount of excised skin for the width of excision. Even if the excision range is found to be insufficient, it can be repeated. 3.Use two circumferential incision lines not parallel to correct partial ventral flexion of the penis. This method is used for adults with a well-developed penis, and the dorsal side is more excised than the ventral side by 0.5 to 0.8 cm, which can correct the ventral curvature of the penis by 10° to 15°. This is also something that circumcision cannot achieve. 4, retain the integrity of the foreskin tie, bleeding, edema, infection, complications significantly reduced, the traditional circumcision difficulty lies in the foreskin tie, because the place is rich in blood vessels, not easy to clamp, for bleeding key parts, excessive clamping, easy to cause necrosis, infection, poor healing. Cuff circumcision avoids the difficult point of surgery at the circumcision, because the two circumferential incisions are parallel, the excised ventral and dorsal foreskin are equal, and the skin on the dorsal side of the abdominal pain is equal in length after anastomosis, avoiding the retention of too long or too short on the side of the tether and the anastomosis between the tethered fold and the outer plate skin does not affect wound healing and aesthetics. Sleeve circumcision surgery has good aesthetic effect, significantly reduced complications and less pain for patients.