The aim of this study was to perform a preputiotomy with the formation of an artificial opening in a breeding bull to realize his reproductive potential. Scientific and production research was conducted in the spring of 2024. In a 3.5-year-old Holstein breeding bull, kept at a breeding station for keeping breeding bulls, acroposthitis and fibrous lesion of the penis in the area of the S-shaped bend were detected due to the developed infectious process caused by Pseudomonas aeruginosa. The resulting pathology prevented the penis from fully extending beyond the preputial sac when collecting sperm for an artificial vagina (the last sperm collection was performed on 02/07/2024). The operation performed consisted of the following stages: insertion of a thick-walled tube into the preputial sac for better orientation in the tissues; making a V-shaped incision of all layers of the prepuce near its fornix; excision of the prepuce section necessary for free removal of the penis when collecting sperm; formation of an artificial opening by connecting the parietal preputial layer to the skin with an interrupted suture. The postoperative period included daily monitoring of the animal's condition, antibiotic therapy (amoxicillin (0.15 g), three injections every 48 hours), and the use of non-steroidal anti-inflammatory drugs (meloxicam (0.002 g), 3 days). A month after the operation, sperm was collected (06.05.2024, three months later) and the presence of all unconditioned reflexes was noted. At the same time, the copulatory reflex was full, painless and ended in ejaculation. The obtained volume of sperm after two mountings was 2.5 ml, the concentration was 1.3x108, the activity was 8 points. Thus, preputiotomy is an effective method for surgical correction of lesions of the preputial sac and adhesions in the area of the S-shaped bend of the penis in breeding bulls.