Hypospadias is a common congenital developmental malformation in children, accounting for the most common genitourinary malformation. The exact cause is not well understood and may be related to genetics and some acquired factors. There are three main physiological abnormalities caused by hypospadias, specifically, the abnormal position of the urethral orifice, the combination of penile hypospadias in some children, and the abnormal distribution of the foreskin. Most of them require surgery to correct the abnormality, and most of them have satisfactory surgical results for experienced surgeons. Do all cases of hypospadias require surgery? Generally speaking, the need for surgery depends on two things, one is the position of the external urethral opening. The second is the degree of penile recurvature. If the location of the external urethral opening is closer to the normal external opening, such as coronal hypospadias. At the same time, the degree of penile downward curvature is relatively mild, specifically, the angle of downward curvature is less than 30° in the fully erect state of the penis (preferably measured by a doctor), or the degree of penile downward curvature does not affect the sexual life of both spouses. Then surgery is not necessarily needed. Of course, as our standard of living and health awareness continue to improve, some patients also have higher requirements for their appearance, and some mild hypospadias can be surgically reshaped under the full assessment of a professional doctor.