Objective: surgical treatment for severe Peyronie's disease is a challenge for urologists throughout the world. The aim of this video is to show the Gelbard's technique of split plaque incisions and the use of bovine pericardium grafts in a patient with severe dorsal curvature (90 o ) and no hourglass deformity. Material and Methods: the video shows the operation of a 58 years old man who consulted for severe Peyronie's disease and firm erections. First, the x‐ray and the ultrasound studies are shown and so are the auto‐photographs. Then the main steps of the surgery are displayed in a didactic way. A pair of split incisions are performed in the plaque after lifting the neuro‐vascular bundle and measuring of the penis. After the incisions, 3 cms. are gained in the penile length. Then, 2 grafts of bovine pericardium are placed to cover the gaps, tailoring them 20% bigger than the gaps. No corporoplasty was added. After closure of Buck's fascia, circumcision is routinely performed. Once the skin is closed, a Coban dressing is applied. Results: using this technique we have operated on 6 patients since September 2003. Mean follow‐up is 6 months (9‐2) and so far the results are very good in terms of straightness and firmness of the erections. As the problem is only the curvature, there is no need for an H shaped incision thus reducing the probability of post‐op ED. In this small series, only one patient reported a slight decrease in the firmness of his post‐op erections. Conclusion: although the number of patients is low and the follow‐up is short, it seems that split plaque incisions and bovine pericardium grafts is a sound alternative in patients with severe dorsal curvature and no hourglass deformity. Disclosure: Was this work supported by industry? No.