The nursing issues that arise at various stages before and after hypospadias surgery are numerous, complex, and vary from person to person. We will implement nursing diagnosis around the child and his accompanying relatives at different periods of the surgery, and identify the nursing problems most closely related to the prognosis for evaluation and confirmation and focused care to ensure the smooth success of the surgery. Some children are more introverted in nature, afraid of contact with strangers, and feel a little afraid of the unfamiliar environment of the hospital. Developmental immaturity, adaptability to changes in the surrounding environment is more fragile. Some children grow up learning dialects and are not very proficient in Mandarin, resulting in a restrained and shy mindset. These require patient and enthusiastic guidance from the admitting medical staff, so that the child can have a sense of belonging as soon as possible. 2.Pre-operative preparation period Pre-operative examinations and skin preparations should be carried out. Because the child does not quite understand the purpose of treatment, there will be uncooperative, disobedient, disobedient and other emotions and behaviors, for older children to carry out some facilitation guidance, for those who cannot identify can use coaxing to divert his attention and cooperate with the medical staff. 3.Post-operative instability period The post-operative day is a critical time, after the surgical anesthesia, there will be pain, the drainage tube may lead to some irritation, the child needs good care and comfort at this time. The relatives who witness the pain and discomfort of the child and are prone to pity, shame and self-blame may feel overwhelmed if they are not familiar with nursing care. At this time, it is necessary to have a good communication with the physician and nursing-related personnel, and the surgeon will make an introduction to the operation, communicate the condition, as well as the related nursing initiatives, and pay attention to the observation matters after the operation. 4.Post-operative stabilization The post-operative stabilization care is particularly important to effectively clean the urethra and exclude the possibility of potential infection, the penile bandage should not be too tight, timely release the penile bandage, secretion drainage is smooth, avoid premature independent urination, avoid incision fracture and avoid the formation of urinary fistula. Ensure normal sleep, good mental state, and nutritional intake of protein-rich food, etc. At the same time, it is necessary not only to provide a good guidance and reassurance to the child, but also to involve the relatives actively in the care plan to avoid emotional fallout and fragile and negative thoughts. During the rehabilitation period, for various reasons, there will be failed surgeries, resulting in complications such as urethral stricture, urinary fistula, urethral diverticulum, etc., which will cause anxiety, certain psychological pressure and concern about the effect of another surgery for both the child and the relatives. It is important to be proactive and to be exposed to positive and optimistic things to avoid negative psychological emotions and stress. Every patient and the relatives of the child want to have a successful surgery at once, and the failure of the treatment of hypospadias is a heavy pressure, burden and test for the patient himself and his family. Therefore, the prerequisite for the treatment of hypospadias is the guarantee of a professional medical institution, not only for the operation but also for all aspects of care. A small negligence can lead to regrets of failure and regret, so choosing the right medical institution is something that all patients should pay attention to and decide carefully.