Purpose Satisfactory aesthetic outcome is always great challenge in the repair of external genitalia in children with CAH. We present several modifications of the technique with improved outcome. Material and Methods Hypertrophic clitoris is degloved leaving inned and partially outer praeputial layer with clitoris, preserving its vascularity. Clitoris is completely disassembled with full mobilization of NVB and urethral plate, and reduced to the normal side. Cavernosal bodies are excised at crural level. Clitoris is fixed to the crura and labia minora reconstructed trom preserved inner and uter praepucial layer. Vaginal introitus is opened using cut-back technique. Results One year after surgery child presented with excellent outcome. Conclusions New improvements in surgical details enable achieving superior outcome in CAH repair.