Hypospadias is a common condition, but surgical treatment is a nightmare for many doctors, patients, and families because the “failure rate” is so high. Urethral fistula, urethral stricture, urethral diverticulum, unsightly appearance …… In fact, strictly speaking, “urethral fistula, urethral stricture, urethral diverticulum” are all surgical complications, complications that can be corrected by surgery again, belong to the ” Good things come in small packages. If the urination is normal, but the appearance is unacceptable and the adult sex life is uncomfortable, is the surgery successful? In most cases of hypospadias, the urinary function itself is normal, only the position of the urethral opening is abnormal, and as the penis grows, it is possible to urinate standing up without treatment. Just like with blepharoplasty, or double eyelid surgery, vision is not affected, cosmetic improvement is more important, and no one wants to see that it is “open”. The abnormal post-operative appearance is a lasting implication to the patient and family: “patient with hypospadias”. In combination with long-term follow-up experience from abroad, patients’ dissatisfaction in adulthood after completing surgical treatment at an early age is mainly focused on the overall appearance of the penis and the comfort of sexual life, and the desire to seek medical care when told that it can be improved by another surgery is urgent. Therefore, when choosing a treatment method, families, patients, and doctors should have higher and longer-term demanding goals.