Undescended testis is one of the most common congenital anomalies in pediatrics. The incidence of this anomaly is between 1.6% and 9.0%and up to 45% in preterm infants. Urogenital anomalies to be associated with undescended testis are renal agenesis, Ureteropelvic junction (UPJ) obstruction, hypospadias, hypoplastic phallus and others. Aim of the Work: The aim of the study is to evaluate the urogenital anomalies associated with undescended testis and emphasis the importance of early diagnosis and management of these cases. Twenty male patients were included in this analytical prospective study presented by undescended testes with associating urogenital anomalies admitted in the pediatric surgery unit at AL-Zahraa University Hospital in the period from April 2021 to October 2021. The range of age from 1 to 12 years old with mean (4.13 ± 2.76). Ten cases had bilateral undescended testes and ten cases had unilateral. Five cases were impalpable, and fifteen cases were palpable undescended testis. One associating urogenital anomaly was detected in 70 %. Two associating anomalies in 20 %. Three associating anomalies in 5%. Four associating anomalies in 5%. The most common urogenital anomaly was scrotal hypoplasia in 35 % and proximal hypospadias in 35%. Early diagnosis and management of undescended testis is important to prevent complications as fertility problems. Also, early detection and management of associating urogenital anomaly is important to improve the quality of life and to prevent psychic and medical complications.