Buried penis is a congenital or acquired condition that can lead to obstruction of urinary stream, poor hygiene, soft tissue infection, and inhibition of normal sexual function. Congenital causes are often due to maldevelopment of penile shaft skin whereas acquired conditions are frequently associated with morbid obesity. Adults with a buried penis will either live with their condition or undergo weight-loss programs. However, weight-loss programs are slow and often do not "unbury" the penis; furthermore, poor hygiene from pooling of urine can lead to soft tissue infection. Patients will eventually need definitive reconstructive surgery and more urgent surgery if infection is present. Surgeons who manage this condition are either reconstructive urologic surgeons or plastic surgeons.