ED is the inbility of the male to attain and maintain a sufficient erection for a satisfactory sexual intercourse. It can be psychological, neurogenic, metabolic or urologic. Today in the hands of an expert urologist, all kinds of organic causes of ED is managable. Treatment modalities include life-style changes, oral and medical treatments including hormonal treatments, Low intensity shock wave treatment(LI-SWT), Vacuum erection devices(VED), penile injections and penile prosthetic surgeries. These strategies must be patient based and adjusted according to the needs of the patient and the partner.