We report the case of a 2-week-old male infant who developed necrosis of the glans penis as a result of circumcision. Based on the clinical absence of impairment of micturition on gray-scale and color Doppler sonographic findings, which showed the relatively superficial necrosis of the skin layers without underlying damage to the corpora cavernosa or urethra, a conservative approach was chosen with a good prognosis. A 4-month follow-up sonograpic examination revealed evidence of glans healing with super ficial skin epithelization. These findings may lead to mild cosmetic damage, but no future functional complications are expected. To our knowledge, this is the first report of gray-scale and color Doppler sonographic evaluation of the ischemic process of the glans in a neonate with this rare complication of circumcision. VVC 2006 Wiley Periodicals, Inc. J Clin Ultrasound 35:105–107, 2007; Published online in Wiley InterScience (www.interscience.wiley.com).