Our first choice nowadays for treatment of children who come with phimosis or tight foreskin is local steroid therapy using betamethasone. More than 1000 children have been treated by Dr A.K.Singal in his pediatric urology clinic all over Navi Mumbai and in Mumbai, India preventing unnecessary surgery (circumcision) in more than 800 children. This is particularly gratifying as circumcision has its own risks of infection, bleeding and anesthesia related complications.