The most common site of urethral stricture disease (USD), which is difficult to treat, is the bulbar urethra. Patients usually present with symptoms of chronic obstructive voiding, but they may also have recurrent urinary tract infections, detrusor failure, or renal disease. Although urethral reconstructive procedures have advanced in recent decades, the search for the perfect replacement goes on. In order to ascertain the effectiveness and potential hazards of using buccal mucosal grafts for substitution urethroplasty, we conduct a thorough assessment of the literature. Grafts of buccal mucosa have shown to be an adaptable replacement for strictures resulting from a variety of sources. Ninety-six percent of patients who underwent two-stage procedures to treat complex urethral strictures required a revision after the first stage, with less complications than when penile skin graft was substituted. Dorsally placing the graft appears to be more successful than ventrally placing it. As a result, buccal mucosa is probably going to replace urethroplasty as the new gold standard, and longer-term outcomes from its use are anxiously anticipated.