Background: One of the most prevalent congenital abnormalities, hypospadias is characterized by the underdevelopment of the penis's ventral anatomical features, such as the prepuce and urethra. The present study was conducted to compare the repair of distal hypopadias with preputioplasty versus traditional circumcision. Materials & Methods: 30 patients with distal hypopadias were divided in the two groups of 15 each. Group I patients underwent urethroplasty with circumcision and group II patients were offered preputioplasty as an additional procedure. The location of the urethral meatus on the ventral aspect of the penis, the existence or lack of the associated chordee, the length and circumference of the penile tissue, the glans girth, the depth of the navicular fossa or glans groove, the width of the urethral plate, the preputial hood, and the testicular status were all assessed during the clinical examination. To estimate the hemoglobin, around 1 milliliter of blood was extracted. Results: All the children in both groups were born at full term and were having bilateral well descended testis at the time of birth. 3 patients in Group I and 1 children in group II were having of thin preoperative urine stream. Meatus location was distal in 11 and 12 and subcoronal in 4 and 3. Preputial hood was good in 12 and 14, poor in 2 and 1 and navicular fossa /glans groove was good in 13 and 12 and poor in 2 and 3 in group I and II respectively. The difference was non- significant (P> 0.05). The mean stretched penile length in group I was 5.18 cm and it was 4.70 cm in group II. The mean penile circumference of group I patients was 3.90 cm as compared to 3.72 cm in group II. The mean glans girth was 4.18 cm in group I patients and in group II patients was 3.91 cm. The mean urethral width in group I patients was 3.759 mm as compared to 3.62 mm in group II children. The difference was non- significant (P> 0.05). The number of days of Foleys catheterization in group I was 10.5 days and the mean duration was 11.9 days in the group IIB. The number of days of hospital stay was 12.02 and 12.07 days in group I and group II respectively. The difference was significant (P< 0.05). Conclusion: Preputioplasty or traditional circumcision can be used in conjunction with distal penile hypopadias correction. Planning for distal penile hypopadias repair in a single sitting should take preputial reconstruction into account, in accordance with the patient's wishes, with all additional risks properly disclosed and informed permission obtained. For all children receiving single-stage distal penile hypopadias correction, this treatment should be made available because it is safe.