This Perineal reconstruction and hypospadias study day is primarily aimed at plastic surgery trainees, consultants and allied health professionals but may also be of interest to other linked specialties like general and paediatric surgery, urology and O&G. The themes include perineal flap strategy; flap versus mesh debate; postpartum vulval reconstruction; one versus two stage hypospadias repair and avoiding the unfavourable outcome in hypospadias.