Li Hu, Department of Urology, Baiyun District First People’s Hospital, Guangzhou, China Introduction: “Colorful refining five-color stone, Nuwa mended the sky”, this beautiful folk story extols the kind goddess who saved the world and repaired the cracks in the sky for the benefit of all beings through her hard work. Congenital hypospadias is the most common congenital malformation of the male external genitalia in children, which brings great pressure to the affected children and their families. In order to repair this cleft, the white angels used to rack their brains and try every possible means to correct this congenital malformation by choosing various means. “The success rate of hypospadias repair has improved epochally with the continuous improvement of the technical level of hypospadias repair and the diligent efforts of the older generation such as Prof. He Chuxu and Prof. Mei Hua! I. Performance of hypospadias urethral opening ectopic, penile curvature, dorsal prepuce accumulation II. Factors related to hypospadias 1. Incidence: one hypospadias in every 250 male infants, with an increasing trend of incidence 2. High risk factors: Underdevelopment of the urogenital fold forming the urethra, so that the urethral groove cannot be completely closed is the cause of hypospadias. The incidence of fetal hypospadias is about 8.5% when the mother uses progestin in the first 3 months of pregnancy chromosomal aberrations, genetic mutations, family inheritance, etc. 3. Complicating malformations: 1. cryptorchidism and inguinal hernia 2. urethral malformations 3. prostatic capsule 4. penile scrotal transposition 5. gender malformations, etc. 4. treatment principles and timing of surgery Hypospadias is caused by the presence of penile hypospadias and urethral orifice abnormalities, inability to urinate standing up or accompanied by It is not possible to have children in adulthood because of painful erection, so it must be treated surgically. Hypospadias should be operated before the child can feel his congenital defect in order to prevent adverse effects on his self-image and emotional development, and 6-18 months is the best time for surgery. Early surgery also frees the parents of the affected child from long anxiety and positively promotes the child’s physical and mental health with a cheerful mind! The two steps of hypospadias surgery to correct penile hypospadias and urethroplasty are best performed in one stage (one time) surgery, but also in two or more stages depending on the case.