Meatal stenosis is the narrowing of the opening at the tip of the penis (urethral opening). It is one of the most common complications after circumcision and has been reported in up to 7.3% of circumcised patients. Deficient blood supply or recurring inflammation of the meatus (after circumcision) are the leading causes of this condition. Boys may present with penile pain during micturition, a narrow and high-velocity urinary stream, and the need to sit or stand back from the bowl to urinate, secondary to a deflected stream. If clinically significant, we offered procedures to correct it either under local anesthesia in the office or under a short general anesthesia in the operating room.