Surgical treatment may be mandatory in cases of congenital penile curvature (hypospadias) and certain instances of Peyronie's disease. Furthermore, surgical intervention is recommended for penile curvatures typically exceeding 30 degrees that physically impede or complicate sexual intercourse. However, it should also be considered that penile curvatures can lead to significant psychological distress in individuals. Therefore, a comprehensive evaluation of each patient and a clear understanding of their treatment expectations are of great importance. Treatment options, anticipated outcomes, and potential complications should be discussed in detail with the patient to determine the most appropriate personalized treatment approach.