The criteria for surgery and treatment of hypospadias are basically the same: normal function and normal appearance. However, our parents and patients often have different interpretations of what is “normal”, which can lead to a lot of angst and worry. In most cases of hypospadias, the genital development, sexual function and fertility are the same as those of the general population. For the distal type, it is more of a cosmetic abnormality with no functional impairment. Although I believe that normal appearance is also important and worth correcting surgically for this reason, I do not believe that the danger and severity of hypospadias in the middle and distal types should be exaggerated by Liu Yidong, Department of Urology, Shanghai Renji Hospital. For the general population, the development of the penis, like height, circumference and other various physiological indicators, is a standard range, within which are normal. The penis at any age in the fully erect state, resting state, and even in the cold retraction state, the shape will be significantly different, in fact, only the fully erect state of the penis has comparative significance, which is a response to the physiological function of the state. For a normally developed adult penis, a downward bend of no more than 30 degrees, twisting within 90 degrees, and a moderate penile scrotal transposition are common phenomena with no physiological impact, which means that there are few penises that are completely straight like a telephone pole. We can accept tall, short, fat and thin people, be colleagues, friends, and even relatives, no thirst for tall, handsome, white, rich and beautiful, why must we thirst for the penis to grow into a fixed conceptual form? As a doctor, I advocate health is the most beautiful, surgery tailored to evaluate the actual on the real. Any surgery, will bring changes after the surgery, and when communicating with the doctor again before the surgery, you need to understand the possible results, including function and appearance. Exposure of the head of the penis after surgery is a common occurrence and, in the words of the doctor, is similar to the effect after circumcision. This is not what foreskin is no more, the head of the penis exposed will wear out, not to mention the surgery made abnormal appearance …… For one thing, the foreskin is often used up as good material during surgery, and for another, some patients are not rich in foreskin development, and there is not much left for surgery. It should be noted that circumcision after the head of the penis is completely exposed is conducive to the health of both men and women and reduce the chances of infection in the sexual route, is also recognized by the World Health Organization. As for the various claims that the foreskin is retained abroad or cut off at birth, most of them are for local religious and cultural reasons rather than medical scientific theories. For individual serious cases of hypospadias, or even genital development disorders, then it is not a simple hypospadias, or hypospadias is a manifestation of its gonadal endocrine abnormalities, which can not solve all the problems simply by surgery. WeChat public platform subscription number: niaodaoxialie