Hypospadias is a common congenital developmental anomaly in pediatric patients, accounting for the first place of genitourinary malformations. Hypospadias is characterized by three main physical abnormalities, abnormal position of the urethral opening, penile recurvature and abnormal distribution of the foreskin. Most of them require surgery to correct the deformity. The purpose of the surgery is to correct the penile recurvature, restore the urethral orifice at the head of the penis, and make the appearance of the penis satisfactorily similar to that of a normal person. According to statistics, there are more than two hundred kinds of repair surgeries related to hypospadias, of which one or two dozen are more commonly used. Then how to choose the type of surgery applicable to hypospadias, according to some of the following factors to consider, the child with or without penile recurvature and the degree of recurvature, the location of the urethral orifice, the local urethral plate as well as the development of the foreskin, there is no history of previous local surgery. In terms of the choice of material used for urethroplasty, the procedure can be divided into the broad categories of local soft tissue coils, flap coils with vascularized tips, and free graft coils (e.g., lingual mucosa). From the time of surgery, it can be divided into one-stage surgery and staged surgery, of course, the choice of surgical methods, but also depends on the personal habits of the operator, the degree of mastery and use of surgical procedures, etc. To sum up, the surgical methods of hypospadias have their own principles, but the specific choice depends on the specific development of the child’s hypospadias localization and the operator’s personal use of the surgery for a comprehensive consideration.