Hypospadias is one of the most frequent male congenital anomalies. Its surgical correction is under permanent review and it is always controversial. The best surgical technique can only be chosen intrao-peratively, since it is the level of corpus spongiosum di-vision what marks the severity of the case, although it is essential to evaluate position of the meatus, penile curvature, quality of the preputial skin and penile size. It is recommended treatment age between 6-12 months. Nowadays, The most frequently used technique for hy-pospadias repair is the Snodgrass tubularized incised urethral plate (TIP). Moreover, distal and medial hypos-padias may be treated with urethral advance or flap te-chniques and proximal hypospadias with modifications of these in one-step or two-step procedures. Neverthe-less, there are other controversies about hypospadias, such as to preserve or not the prepuce, the use of central or peripheral anesthesia blockade, or the use of wound dressings.