The aim of this work was to discuss general ideas concerning the facto
rs which should be taken into account for the treatment of hypospadia
including : anatomy, preoperative work-up, analysis of the anatomic ty
pe, patient status, search for an underlying more complex malformation
. Precise indications for per and postoperative care should provide go
od results. Two major ideas predomination in these recommendations: op
erate early (at about 2 years) in a single procedure for both anatomic
and psychological reasons. This latter point is particularly importan
t. Operative technique is illustrated and described together with comp
lications and their management.