Psychological care is provided throughout the surgical treatment process and involves the child, parents, relatives and friends in many ways. Congenital genital deformities, dysfunction, and altered urinary patterns make the child shy, lonely, with low self-esteem and an incomplete personality. Parents are anxious, worried, grieving, and have an unhappy family life. High expectations for the surgical results, especially for perfect postoperative genital development and morphology, cause great psychological stress. The implementation of psychological care should be combined with the age of the child and the different stages of the perioperative period, so that the child and parents can adapt to the therapeutic changes, sound physical and mental unity, and improve the ability to adapt to society. I. Psychological care for children before surgery 1. Provide motherly love to help adapt to the environment The children in surgery are young, dependent on life, and have poor awareness and acceptance of unfamiliar environments and things; they do not adapt to the hospital layout, ward furnishings and the dressing of medical staff. In the nursing process, special care and attention should be given to children who are not accompanied by their relatives, and motherly love should be provided to the children instead. Such as like a loving mother intimate, gentle, often hug, touch, try to meet his interests and habits. As far as possible, the ward settings and appliances should meet the psychological requirements of children, such as low beds, brightly colored walls, toys that can move and sound, and children of similar ages living in the same room, so as to meet the emotional requirements; for older children, they should be kind and considerate, respect their personality, explain the stakes of the disease and the perfection of successful surgery, obtain their support and cooperation, and establish a good relationship of attachment and dependence on nursing staff. To establish a good relationship of attachment and dependence on nursing staff, eliminate their strangeness and fear, so that they can adapt to the new environment as soon as possible. 2.Strengthen psychological guidance and adapt to treatment changes After the surgery is determined, due to the gradual unfolding of various tasks such as treatment and examination, children will have pain and discomfort, leading to non-acceptance or avoidance of treatment and surgery. Nursing should emphasize psychological guidance and encouragement before and after treatment to weaken and offset the non-collaboration as a result of the poor adaptability of the child. Such as teasing and intimacy before injection, propagating stories of brave and strong characters, hinting and cultivating the child’s competitive character, and positive examples from the ward can be used to help motivate and improve the child’s tolerance of adverse stimuli; praise, motivation or behavioral satisfaction after injection, etc. Second, the psychological care of children after surgery Infants and children have poor self-control and tolerance, and they react greatly to the pain and discomfort of surgical trauma and urethral catheter placement. After waking up from anesthesia, they can show restlessness, agitation, crying, confrontation with treatment, and even pull out the drainage tube, which interferes with the implementation of the treatment plan. Therefore, it is advisable to arrange bedside escorts for the child’s parents to meet the child’s psychological dependence and to assist the nursing staff in calming and sedating the child. Care should be reasonably planned and focused, with minimal movement of the child. For older children, focus on learning self-reference and self-care, such as “postoperative pain and discomfort are normal and temporary”, “hang in there, it will get better”, “I can urinate like a normal person after the drainage tube is removed”, etc. “, etc.; instruct the child to breathe deeply, relax the abdominal muscles, learn to self-regulate, and effectively control postoperative voluntary urination. 1, the child’s parents psychological care Different from other surgical care is that good parental psychological care can directly affect the recovery and regression of the child’s disease. Because good parental psychological care can not only directly participate in the development of the care plan, but also influence the child’s emotion, make him/her feel safe and enhance compliant behavior. Parental psychological care can be carried out in the following two ways. 2. Enhance the role awareness of nurses That is, nurses are required to focus on their own grooming and establish a good image among parents of children. Nursing instrumentation is dignified, technically proficient, responsible, patient in answering questions, treating patients as relatives, using their own language, behavior and expressions to influence their parents, correcting their attitude toward surgery and helping to establish a psychological state conducive to the treatment and recovery of the child. 3.Improve the level of knowledge about the disease Parents generally lack knowledge about the disease, and even mistakenly think that they have sinned and harmed their children, and are depressed. Nursing staff should introduce to them the etiology and morbidity of the disease; introduce the procedure, examples of successful surgery and the perfection of postoperative function and morphology; introduce the importance of postoperative tube placement, especially the protection of the urinary catheter and the new urethral stent tube, so that parents have a comprehensive and systematic understanding of surgical treatment, normal understanding of the disease, eliminate concerns, change passive companionship to active participation in care, and assist the child’s smooth We will help the child to recover smoothly.