45 year old male with a severe buried penis with inability to pull out his penis. He had massive weight loss after gastric bypass surgery. The penile skin was damaged from chronic inflammation and dampness. He had previous unsuccessful attempts to correct the buried penis by other physicians. I performed a suprapubic excision of excess skin and fat, tacking of the pubic tissues to the underlying fascia, excision of all his damaged penile skin, and grafting of thigh skin onto the penis. The photos are 3 months postoperation. The residual penile swelling will decrease over the next 1-2 years.