A discovery was recently made in the city of Lucknow, which led to a new surgical technique for a rare and extremely serious birth defect in urinary system that has found a place in an international multi-volume textbook of plastic reconstructive and aesthetic surgery. The team of doctors led by head of pediatric surgery department of KGMU, Prof SN Kureel, and including Dr Archika Gupta and Dr Sunil Kanoujia is credited with the discovery. Exstrophy-epispadias is one the most serious birth defects involving one baby in 10,000 births where the urinary bladder and urethra of penis are turned inside out accompanied with constant urine leak.The achievement in the field of exstrophy-epispadias has been included in ‘Thieme Medical Publisher’ – an American German medical and science publisher. The results after the multistage surgery, which was done in a span of three to five years for this congenital defect was not encouraging. In the research conducted by Prof Kureel and his team, new anatomical facts were discovered based on which a new surgical technique of single stage total reconstruction was developed. This new technique showed remarkable improvement in results in terms of urine control and aesthetics.