Hypertrophic skin scarring can occur with hypospadias repair. Typically, the skin will heal with a thick scar, one that can contract with an accordion-like appearance along the ventral surface of the skin. In this brief video, in which a patient with a prior surgery had healed with short ventral skin with this type of scar, Dr. Bush and Dr. Snodgrass of the Hypospadias Specialty Center demonstrate one way to address such scarring. They also discuss the use of postoperative Hyperbaric Oxygen Therapy to help prevent additional skin scarring, that often occurs in the setting of skin flap necrosis approximately 7-14 days after surgery. HBOT is a very useful adjunct to help healing in patients with known risk for skin flap necrosis.