Complications of urethroplasty are directly related to the location of stricture, surgical technique, type of substitution tissue, length of stricture, skills of the surgeon, and patient selection. Complications range from mild and temporary to severe and complicated. Aside from recurrent stricture, postoperative complications are erectile dysfunction, post void dribbling and urethral sacculation, ejaculatory dysfunction and issues with glans sensation, skin sloughing, urethral fistula, and oral graft harvest side untoward results. Limitations in current published papers are the lack of a standardized definition of treatment failure, surgeon under-reporting, and reports of complications being from single surgeon’s case series of heterogeneous urethroplasty techniques, with short to intermediate-term follow-up and nonstandardized follow-up.