Permanent male enlargement surgery, often referred to as penile enlargement or augmentation surgery, encompasses various procedures designed to increase the size or girth of the penis. While some men seek these procedures for cosmetic reasons, others might pursue them due to conditions such as micropenis or Peyronie’s disease.

There are several surgical techniques available:

  1. Penile Lengthening (Ligamentolysis):
    • The most common technique involves cutting the suspensory ligament that attaches the penis to the pubic bone. This allows the penis to hang down further, increasing its apparent length.
    • A small V- or Y-shaped incision is made in the pubic area for this.
    • The increase is mostly in flaccid length. There is usually less increase in erect length.
  2. Penile Widening (Girth Enhancement):
    • Fat Transfer: Fat is harvested from another area of the body, purified, and then injected into the penis to increase its circumference. This method may require repeat procedures, as the body can reabsorb some of the fat over time.
    • Dermal Fillers: Similar to fillers used in facial aesthetics, these can be injected into the penis to increase girth.
    • AlloDerm or Belladerm: These are grafts made from processed cadaver skin that are placed around the penis to increase its girth.
    • Silicone Implants: Some surgeries involve placing silicone implants around the penis to enhance its girth.
  3. Penile Implants:
    • Primarily used to treat erectile dysfunction, these implants can also increase the size of the penis.
    • Two types: inflatable devices and malleable (semi-rigid) rods.


  1. Complications: All surgical procedures come with risks. Potential complications include infection, scarring, loss of sensation, unsatisfactory results, and complications related to anesthesia.
  2. Realistic Expectations: It’s crucial to have realistic expectations. While surgery can increase size, the results might be modest, and not all men are satisfied with the outcome.
  3. Psychological Factors: Some men might benefit from counseling or therapy to address underlying insecurities or body image issues rather than (or in addition to) surgery.
  4. Cost: These surgeries can be expensive, and many health insurance plans do not cover them when performed for cosmetic reasons.
  5. Choosing a Surgeon: It’s essential to choose a reputable and experienced urologist or plastic surgeon who specializes in penile enlargement procedures. They should provide before-and-after photos, patient references, and clear information about risks and potential results.

If someone is considering penile enlargement surgery, they should thoroughly research the procedures, understand the risks, and have a detailed consultation with a qualified medical professional.