Hypospadias is a common congenital disorder in pediatric urology, with an incidence of 1/150 to 250. With the increase in environmental pollution and food hygiene problems, the incidence has been increasing year by year and the disease has become a global concern. Surgery is the only way to treat hypospadias. There are no less than 300 surgical options for hypospadias, but no single procedure is suitable for all patients, and the success rate of surgery varies. A successful hypospadias surgery is one in which the penis is straight, the urethra is open to the glans and fissured, urination is unobstructed and there are no urethral diverticula or urethral fistula, the penis looks like a circumcision, and the adult can have a normal sex life. Strictly speaking, the procedure is to address the functional defects of the patient while also performing cosmetic surgery, which has strict requirements for the operator. The selection of the proper surgical approach, extensive clinical experience, and fine and skilled surgical technique are the keys to the success of the procedure. In foreign countries, only specialized pediatric urologists, who have undergone rigorous clinical training, are allowed to perform hypospadias orthopedic surgery. Generally speaking, the critical period of psychosexual maturity is from 6 months to 18 months of age, and patients with hypospadias have more or less shadow in their future life due to abnormal urination. The surgery should be completed before 18 months of age. In recent years, pediatric urology has made great progress nationwide, especially in the surgical method of hypospadias, we have introduced advanced surgical procedures at home and abroad, such as urethral plate coiled tube urethroplasty and intra-circumcision plate substitution urethroplasty, which have significantly improved the success rate of one operation and the appearance after the operation, and the post-operative complications have been greatly reduced. We hope to serve our patients better with our efforts.