As one of the genital abnormalities that can be solved only by surgery, “how to choose and how to treat” has always been a problem for doctors, families and patients. First of all, what is the goal of treatment? Generally speaking, the following points need to be met: correction of severe penile curvature and reconstruction of the appropriate urine; urethral opening in as normal a position as possible; and acceptable genital appearance. Thus, both physical and cosmetic functions are included in this. It is emphasized that hypospadias is not the inability to urinate, but only the incorrect position of the urethral opening. Secondly, how is it treated? Nowadays, hypospadias is admitted in pediatric surgery, urology and plastic surgery in China, and there are excellent doctors among them. This means that this type of surgery involves at least multidisciplinary knowledge, with pediatric surgeons familiar with pediatric physiology, urologists familiar with male reproductive health, and plastic surgeons familiar with tissue repair. Therefore, a professional suburethral cleft surgeon should have an understanding of all three areas and take these combined factors into full consideration when developing a treatment plan. Again, what happens if there are complications from the surgery? Hypospadias, as a common condition in a specific area and at the same time a relatively high complication, can happen to any surgeon and can be encountered by any patient, it is just a matter of probability and degree. Perhaps it is a good thing that complications can be re-treated, but, of course, inexperienced management can cause difficulties for re-repair. Therefore, it is advisable to seek medical attention from a specialist experienced in this type of surgery, who also needs to be familiar with a variety of technical tools. Finally, the occurrence of hypospadias is associated with abnormal gonadal endocrine function of the organism, which is also a cause of genital dysplasia, fertility disorders, and sexual dysfunction. Successful surgery should be a part of successful treatment of the disease, and standardized follow-up with appropriate guidance is also important.