Traumatic injuries to the external genitalia are rarely fatal, but can have profound morbidity that permanently impairs quality of life. In order to minimize both the short- and long-term devastating complications associated with these injuries, prompt evaluation, diagnosis, and management are essential. A systematic approach to the management of trauma to the external genitalia is necessary to maximize organ preservation, thus maintaining fertility, endocrine function, sexual health, micturition, cosmesis, and psychological well-being. Understanding the anatomy, mechanism of injury, clinical signs and symptoms, imaging findings, and treatment options is critical for successful outcomes. Conservative management may be appropriate in particular situations. However, prompt surgical treatment is often mandatory to minimize complications and optimize patient outcomes. Trauma to the external genitalia often involves multiple organ systems. Maintaining a high index of suspicion for associated injuries while working closely with experts from other medical and surgical teams ensures the greatest patient benefit.