The incidence of epispadias is significantly lower than the incidence of hypospadias, so even some pediatric urologists may encounter few or no cases of epispadias. Nevertheless, surgery for epispadias is not more difficult than for hypospadias. The key lies in the presence of abnormal urethral sphincter development and the severity of the upward curvature of the penis, and if the child has a severe upward curvature of the penis, he or she may need staged surgery to address the upward curvature of the penis first. If the child has an urethral cleft combined with uncontrolled urination (urinary incontinence), the treatment plan may not only be a matter of urethral repair, but may also require urinary control surgery; if the problem is simply an urethral cleft only, the surgery will be performed at a later date depending on the child’s penile development, and in cases where the penis is well developed, the surgery can be performed when the child is 6 months old. Children with urethral cleft must undergo orthopedic surgery to correct the morphology and function on the one hand, and to avoid any future psychological effects on the child on the other. As for anesthesia, pediatric anesthesiologists are available at children’s specialized hospitals, so anesthesia should be very safe for surgical procedures such as urethral clefting, and generally does not affect children. The purpose of the surgery is to make the child’s penis look like a normal child’s after circumcision, and to be able to urinate normally like a normal child.