Exstrophy of the bladder is a spectrum of congenital anomalies that involve the structures of the lower abdominal wall. The classic bladder exstrophy results in a severe deformity. The purpose of the original surgery is to obtain a secure abdominal wall closure with urinary continence. In present times the abdominal wall is repaired shortly after birth. The occasional patient has residual anatomical deformities that impede their social development and interaction. Secondary reconstructive surgery can be helpful, and this patient report illustrates this.