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Surgery should only be performed in the stable stage of the disease (1,6,7,41,42). That means, Peyronie’s disease should have lasted for at least 12 months and the patient does not suffer from pain or progression of symptoms for at least 6 months. If a patient does not fit with these criteria, a progression of symptoms may occur, especially a recurrence of penile curvature rapidly after surgery (7,41). The second important aspect is the degree of penile curvature (41,42). If sexual intercourse is hampered severely, it should be elucidated if this restriction is really related to the penile angulation. The problem could be mainly caused by erectile dysfunction that can be treated by PDE5 inhibitors. If the patient is fully potent and asks for a penile straightening procedure in cases of minor curvature as less than 30◦, the indication for surgery should be discussed very carefully (41,42). These curvatures do not really cause a restriction of sexual intercourse. This fact should be well explained to the patient.