Hypospadia is a congenital anomaly of the urethra with an increasing incidence and a great surgical interest. The surgical correction of hypospadias has been challenging and accompanied by failures even in best hands. Hundreds of techniques and modifications of already described techniques have been published, indicating that there is no universal technique, which would lead to ultimately best results and get acceptance by all surgeons. Some surgeons prefer one technique, while others prefer different techniques for correcting the same type of anomaly. There is no consensus on the timing of surgery. Some prefer early repair in the first months of life, others wait until after the first year of life. Thanks to advances in absorbable suture material, optical magnification, surgical instruments, and last but not least the use of dartos flaps for coverage of neourethra, the surgical treatment of hypospadias improved significantly in the last decades, regardless of the surgical techniques used. It is up to the surgeons’ preference to decide about the one-stage, two-stage, or three-stage procedures, but such decisions should always be led by best-practice examples. This chapter describes basic facts about hypospadias and provides information on classification, treatment, and outcomes.