Introduction: The aim of the surgical treatment in Peyronie's disease is to correct the curvature while preserving the erectile capacity of the penis. Surgical treatment should be delayed until the acute inflammatory phase has resolved and should be considered in patients with deformity that impairs sexual function. Currently, surgical treatment alternatives are; reconstructive surgery by either lengthening the concave side (incision and grafting) or shortening the convex side (Nesbit procedure or plication) of the penis, and implantation of penile prosthesis with or without incision of the plaque. Peyronie's patients with good erectile capacity are the candidates for reconstructive surgery. Meanwhile, implantation of penile prosthesis with or without remodeling should be considered to patients without adequate erectile capacity. The present paper reviews the surgical treatment alternatives for Peyronie's patients.