Background: Hypospadias is a congenital anomaly affecting the male genitalia, characterized by the abnormal positioning of the urethral opening on the ventral side of the penis. This study aims to analyze the clinical profiles and surgical outcomes of hypospadias repair in 20 patients treated at ESIC Medical College, Bihta, during the period from November 2022 to November 2023. Materials and Methods: A retrospective analysis was conducted on 20 patients who underwent hypospadias repair at our teaching hospital. Patient demographics, preoperative clinical characteristics, surgical techniques employed, and postoperative complications were reviewed. Surgical outcomes were assessed based on urethral meatus location, complications, and patient satisfaction. Results: Out of the 20 patients included in the study, the mean age at surgery was 4years (range: 3-8yearss). The majority of patients (70%) presented with midshaft hypospadias. The most common surgical technique employed was the TIPS urethroplasty (85%). The mean follow-up duration was 12 months. Postoperatively, 85% of patients had a cosmetically acceptable outcome with the urethral meatus at the tip of the penis. Minor complications, such as wound dehiscence and mild urethral stenosis, were observed in 15% of cases. Major complications such as uretherocutaneous fistula formation occurred in 15%. All patients reported improved urinary stream and overall satisfaction with the surgical outcome. Conclusion: Hypospadias repair at our teaching hospital using various surgical techniques, with a preference for the TIPS urethroplasty repair, has demonstrated favorable outcomes in terms of meatal location and patient satisfaction. The minimal major complications suggest the proficiency of the surgical team. Further studies with larger sample sizes and longer follow-up durations are warranted to validate these findings.