Small white spots like pimples on the surface of the glans may be caused by the presence of circumcision scale, and may also be caused by factors such as penile pearly papules and condyloma acuminatum. 1. Circumcision: men have a long foreskin, not often cleaned, may breed circumcision, will make the surface of the glans there are pimples like small white dots, but there is no other abnormal performance. 2. Penile pearly papules: a benign lesion, can make the glans appear white small particles, usually no conscious symptoms, and will not jeopardize the health of the reproductive system, do not need special treatment. 3. Condyloma acuminatum: men who have unclean sex or close contact with patients with condyloma acuminatum may suffer from condyloma acuminatum, which will make the surface of the glans have small white spots like pimples, accompanied by mild itching and pain. If there are small white spots on the surface of the glans like pimples, and there are other abnormal manifestations, we should be vigilant for disease factors, it is recommended to consult a doctor for examination and treatment.