Hypospadias is a more common congenital malformation of penile development, with an incidence of about 3-4/1000. It is a condition in which the opening of the urethra does not reach its normal position, but opens on the ventral side of the penile body, at the penile-scrotal junction or even in the perineum, often accompanied by a downward curvature of the penis, which can be seen at first sight after birth. Newborns with severe hypospadias combined with penile recurvature and scrotal separation may present with an atypical vulva, making it difficult to quickly and accurately determine gender. The development of hypospadias is a combination of genetic and environmental factors, and the exact cause is difficult to pinpoint. Doctors classify hypospadias into five types: glans, coronal, penile, scrotal, and perineal, depending on the location of the urethral opening. Children with severe hypospadias are unable to urinate and have sex normally, which has a great impact on the child’s psychosexual development. Some cases of hypospadias, combined with scrotal separation and penile recurvature, can resemble female vulva, and if combined with testicular dysplasia and cryptorchidism, the possibility of hermaphroditism should be noted. The more common complicating deformities of hypospadias are cryptorchidism, hiatal hernia and small prostatic sacs. Combined upper urinary tract deformities such as hydronephrosis are not uncommon. Surgery is the only way to treat hypospadias. Doctors recommend that the penis can develop somewhat before 6 months of age, and the best time for surgery is usually 6-18 months, when the child is relatively old enough and well cared for. Surgery has the potential for complications such as urinary fistulas, urethral strictures, etc. Children with severe hypospadias may also have to have staged surgery, and to avoid long-term psychological effects on the child, doctors caution that it is best to complete all surgeries before the child is 3 years old. Early surgery can free the family from the long anxiety early on and create a good family and social growth environment for the child, which is very significant. Children with severe hypospadias are reminded that the vulva resembles that of a female. Parents and friends should pay attention to protect the privacy of the child, ordinary people do not understand this disease and are prone to wild guesses and rumors that affect the child’s living environment. It is important that parents and friends remain optimistic, especially the mother, and do not need to be anxious. Optimism is the best support for the growth of the child.