Abstract: Background: Urethrocutanous fistula after hypospadias surgery repair is the most common complication and remains a frustrating problem for the surgeon and the patient. The problem is exacerbated because the urethrocutanous fistula may recur which adds more demands surgery. Aim: To evaluate the use of buccal mucosal patch graft for treatment of recurrent post hypospadias repair urethrocutanous fistula. Patients and methods: Between January 2018 and August 2019 at Al- Shaheed Ghazi Al- Hariri Hospital in Medical City Complex in Baghdad. 10 boys with recurrent urethrocutanous fistula were included in this study. Their age ranged between 5-12 years. All were repair using a buccal mucosal graft with dartos fascia as an interposed reinforcing layer. Results: Nine out of 10 patients who involve in this study showed complete healing of their fistula, with no recurrence of the fistula during 6 months follow up period postoperatively and also no donor site complication. Conclusion: The Oral mucosal patch graft is simple and easy procedure that can be used for treatment of recurrent urethrocutanous fistula, it provided extragenital tissue for an area that had being fibrous from previous surgery. It shows to reduce the chance of recurrence of the urethrocutanous fistula with minimal or no donor site morbidity.