We report on 66 children who underwent repair of distal hypospadias with the meatal advancement and glanuloplasty technique. A 1-day procedure was all that was required in 52 children (80 per cent). Brief urinary diversion was used in only 3 patients. Excellent results were achieved in 63 children and in 3 boys minor cosmetic deficiencies were encountered but none required further surgery. Meatal advancement and glanuloplasty has proved to be a successful and reliable procedure in the properly selected child with distal hypospadias.