Hypospadias in children is a congenital developmental abnormality that causes a fissure on the lower side of the urethra. The prevalence of hypospadias ranges from 3 per 1000 to 4 per 1000. Depending on the location of the urethral opening, it can be divided into four types, namely, penile head type, scrotal type, perineal type, and penile type. The etiology of hypospadias is still unclear, and is considered to be related to genetic, environmental, and endocrine factors. Hypospadias can lead to abnormal curvature of the penis, lack of foreskin, abnormal opening and other symptoms. If a child suffers from hypospadias, he or she needs to be seen by a urologist as soon as possible for surgical treatment. An individualized treatment plan is required, which can be accomplished with a single surgery or may require staged surgery. The goal of the surgery is to restore standing urination, restore male fertility, and promote a normal sex life in adulthood. The prognosis is usually good with prompt treatment.