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Of all Hypospadias the one carrying maximum impact of severity comes in the severe penoscrotal hypospadias with gross chordee, accompanied with bifid scrotum and penoscrotal transposition . One stage correction has been taken up in carefully selected cases who qualify for corporoplasty, urethroplasty and connecting the bifid scrotum and completing orchidopexy as needed. The challenge is the age group of these patients in toddler age g where anxious parents check into understanding of surmountable age related loss of important male milestones of straight penis and aesthetic and functional penis .A life changing, life modifying treatment empowering the child towards capable happenings by taking this complex therapy is in the domain of reconstructive urology dealing with these patients from preventing crippling them from any such happening . The surgical undertaking is a planned attempt towards unifying the functional and aesthetic organisation of the male child's genitals and improving chances of wonderful moves towards growth and urinary passage by this approach. We reconcile to a set of possbile complications that could happen in terms of urinary leaks, urethral diverticulum and tightness of the neourethra , all of which can be improved and finally cured.of all hypospadias groups the severe penoscrotal hypospadias are challenges where few could look like a case that belongs to intersex state in a small subset of cases . Thus evaluation of all components helps move in the right direction.