This procedure is performed by urologists under general anesthesia, by making a circumcisional incision on the penis to remove the outer layer of skin. Then another incision is made on the perineum and the penis is bought to the perineal area and then a longitudinal incision is made on the dorsal aspect of urethral stricture. A buccal graft harvested from the cheeks about 1.5 – 2 cm width is placed on eh dorsal aspect of the urethra and is fixed. The urethra is retubularized by sutures and the penis is bought back to its normal anatomical shape and all the incisions are sutured after placing a drain.