In Peyronie's disease I found that the complication rate after plaque excision and dermal grafting to be high and started to use the Nesbit technique for the correction of penile deformity. Since 1977, the overall results have been satisfactory in 82% of 359 patients. The results improved when those patients with an impaired erection were assessed by colour doppler studies and a penile prosthesis implanted in those with a vasculogenic deficit. Post operative complications of the Nesbit technique are few and penile shortening was not a problem.