Purpose: To determine whether the perimeatal based flap (Mathieu); or the tubularized incised plate urethroplsty (Snodgrass) technique is more appropriate for treatment of distal hypospadias. This achieved by comparing both techniques as regards complications rate and cosmetic aspectMaterial & Methods: From September 2001 to April 2002 the repair was performed in 40 patients 20 patient are allocated to underwent a Mathieu repair and 20 patients allocated to underwent a Snodgrass repair randomly. Both groups are compared as regard functional (fistula formation and other complication) and cosmetic aspect. The patient age at the repair ranged from 12 months to 15 years.Results: only one case developed fistula that necessitated reopertive repair. In addition, tow cases developed fistula that closed spontaneously in the Snodgrass repair while four cases developed fistula and all necessitated reoperative repair in the Mathieu repair.Conclusion: Tubularized incised plate urethroplasty takes less time and relatively of low incidence of complication and better cosmetic aspect than Mathieu repair