Hypospadias is a common congenital anomaly with an incidence of 1 per 125 to 300 live male births, there are nearly 200 operations reported for its correction give testimony to surgical ingenuity, the technical challenge posed by the anomaly and dissatisfaction with the results of most of the earlier repairs. Frequent modifications in technique, are a constant reminder that the ultimate goal of a normal penis remains elusive. In a prospective randomized study, fifty cases of hypospadias have been repaired using modified Mathieu technique and another fifty cases repaired using the Snodgrass technique. All cases have been chosen randomly, and repaired by the same surgeon(s). A neutral surgeon assessed all the cases. Points of assessment included hospital stay, postoperative bleeding, the necessity of dilatation and its duration, the incidence of infection, urethrocutaneous fistula, wound dehiscence, meatal stenosis, stricture and the final appearance of the penis. The study concluded that, at least in our hands, modified Mathieu technique may give better results in management of distal hypospadias.