Background: Epispadias is an uncommon urogenital anomaly characterized by the incomplete formation of the urethral tube. The aims of surgical intervention encompass the attainment of urinary continence while safeguarding the integrity of the upper urinary tracts, alongside the reconstruction of genitalia that is both functional and aesthetically pleasing. Materials & methods: The present study was conducted fordescribing surgical experience in a series of 5 cases of female epispadias reported at Sardar Patel Medical College, Bikaner. Complete demographic and clinical details of all the patients was obtained. Prospective inclusion of incontinent girls with female epispadias was done. A total of 5 patients were enrolled who were managed surgically. Follow-up was at 1, 3, 6, and 12 months postoperatively, then annually, including physical examination, renal ultrasound at each visit, continence status. Results: All the patients belonged to age range of 5 to 10 years. Urinalysis indicated an average of over 13.8 red blood cells and 8 white blood cells per high power field. No abnormalities were observed in the intravenous urogram or ultrasound examinations. Urethrocystoscopy revealed a short and wide urethra in all cases examined. A combined Young-Dees and urethroplasty procedure was subsequently performed. Key aspects of the procedure included the tubularization of the urethral plate and the relocation of the bladder neck and proximal urethra to an intra-abdominal position. Continence was achieved by creating a posterior strip of mucosa measuring 15 mm in width and 30 mm in length, extending from the midtrigone to the posterior urethra. The surgical intervention concluded with a cosmetic reconstruction of the external genitalia, and the pubic symphysis was approximated. A suprapubic tube and a urethral tube were inserted, with the suprapubic tube being removed on the 21st postoperative day and the urethral tube on the 10th postoperative day. At the three-month follow-up, there were no reported instances of urinary incontinence. Conclusion: Epispadias in females is an uncommon congenital defect that is frequently subject to misdiagnosis. The objectives of surgical intervention include attaining urinary continence, restoring the anatomy and function of the urethra and genitalia, as well as achieving aesthetic improvement.