Neonatal circumcision is a frequently performed procedure with rare co
mplications. Buried penis is an infrequent congenital penile deformity
. If unrecognized, circumcision of these infants may have serious cons
equences. Buried penis refers to a penile shaft that is buried below t
he surface of the prepubic skin because of an abnormally prominent sup
rapubic fat pad and dense fascial bands retracting and tethering the p
enis. Description of the entity and operative repair are discussed. Av
oidance of neonatal circumcision in patients with buried penis is impe
rative to prevent worsening of the condition.