Hypospadias is a common urethral and external genital malformation in male children with an incidence of approximately 4 per 1,000, caused by the cessation of the urogenital sulcus in the ventral longitudinal form of the genital node from posterior to anterior closure process during fetal development. The clinical features are: the opening of the urethra is deviated from the center of the glans and is located on the ventral side of the penis or glans. The foreskin is folded like a turban over the dorsal side of the penis, sometimes accompanied by a downward curvature of the penis. The abnormal urination and special appearance of children with hypospadias directly affect the normal development of the penis and the physical and mental health of children, and can even affect their adult life and fertility. The only way to treat hypospadias is to operate as early as possible. 6 months to 1 year of age can be considered, too early to consider the risks of anesthesia and to complete the operation before the age of 2 years if possible, in order to reduce the impact of the operation on the child’s psychological development. Criteria for successful surgery: urethral opening in a normal position; a functioning penis that allows for a normal life; a reconstructed urethra that allows the patient to stand and urinate; and a normal or nearly normal appearance, similar to the result after circumcision. There are more than 200 documented surgical procedures for hypospadias, and a reasonable surgical approach should be chosen for each patient’s situation. Under normal circumstances, the patient can be discharged 2-3 days after surgery. If open catheterization is used, the child can move completely normally. A prophylactic urethral dilatation is possible 3-4 weeks after surgery, depending on urination, to check the condition of the new urethra and to avoid stenosis due to internal adhesions. In severe hypospadias, especially in cases with a cleft scrotum, preoperative chromosomal and gonadal examinations are necessary to confirm the sex and exclude hermaphroditism. In cases with severe hypospadias or previous failed surgery, the surgery should be performed in stages to achieve a good result. Hypospadias surgery is strictly a plastic surgery. It is highly precise and difficult to perform in practice. Even in developed countries, there are various post-operative complications. Choosing an experienced specialist to perform the surgery, usually a pediatric urologist specializing in pediatric urology, is the first step toward success.