Objective To evaluate the effectiveness of free graft transplantation two-stage urethroplasty for hypospadias repair. Methods Fifty-eight cases with different types of hypospadias including 10 subcoronal

36 penile shaft

9 scrotal

and 3 perineal were treated with free full-thickness skin graft or （and） buccal mucosal graft transplantation two-stage urethroplasty. Of 58 cases

45 were new cases

13 had history of previous failed surgeries. Operative procedure included two stages: the first stage is to correct penile curvature （chordee）

prepare transplanting bed

harvest and prepare full-thickness skin graft

buccal mucosal graft

and perform graft transplantation. The second stage is to complete urethroplasty and glanuloplasty. Results After the first stage operation

56 of 58 cases （96.6%） were successful with grafts healing well

another 2 foreskin grafts got gangrened. After the second stage operation on 56 cases

5 cases failed with newly formed urethras opened due to infection

8 cases had fistulas

43 （76.8%） cases healed well. Conclusions Free graft transplantation two-stage urethroplasty for hypospadias repair is a kind of effective treatment with broad indication

comparatively high success rate

less complications and good cosmatic results

indicative of various types of hypospadias repair.