At his Harley Street clinic, Dr Roberto Viel is explaining how a typical enlargement works. First, surgeons sever the organ’s suspensory ligament, causing it to hang an inch or two lower, giving the impression of extra length. They then extract fat from the patient’s stomach and inject it into the penis shaft, increasing girth by around two inches. Erect, it’s worth noting, it remains roughly the same size, suggesting the motives for many men are not necessarily to enhance either their – or a partner’s – sexual experience.
Dr. Dudley Seth Danoff, author of The Ultimate Guide to Male Sexual Health: How To Stay Vital at Any Age, has seen more than 100,000 patients (no exaggeration) over his 30 years as a practicing urologist. According to this graduate of both Princeton and Yale, enhancement is not a common request, but a fair number of patients have asked him, "What can I do to make my penis larger?" Still, as Danoff told Medical Daily, “There isn’t a man alive who wouldn’t like a larger penis.”
One of the things I took away from dating him is how insecure men can be about their penis size. So whenever I date anyone, I always tell them the very specific details in how I love their penis. I never lie – that would be too tough to maintain long-term – but I always find something. Huge girth. Love the way it curves. The hardest I’ve ever been with. I can barely fit it in my mouth. Whatever. I don’t understand the penis-insecurity but I am going to do my best to rid this world of penis insecurities, one cock at a time.
SOURCES: Karen Boyle, MD, assistant professor of urology and director of reproductive medicine and surgery, Johns Hopkins University School of Medicine. Laurence A. Levine, MD, professor, Rush University Medical Center and director of male sexual function and fertility, Chicago. Steven Lamm, MD, assistant professor of medicine, New York University and author, The Hardness Factor. Richard, New York. Bob, New Jersey. WebMD Medical News: "Penis-Lengthening Surgery Questioned," "Small-Penis Syndrome Questioned."
Penis length surgery involves cutting the ligament with which the penis is attached to the pubic bone and grafting added skin to the base to increase length. This will increase the size of the flaccid penis by up to 2cm, but it doesn’t affect the size of the erect penis. The cut ligament may also not provide the support it originally did, which means that you might find your erections less satisfactory as a result. There is also a risk that this type of surgery may cause the side effect of pain during sex.
One of the questions that gets asked a lot is about finding something that will permanently extend the size of your penis. Nothing, other than painful and not always successful surgery, can permanently extend the size of your penis. The American Urological Association  does not promote penis augmentation surgery as effective or beneficial. Sometimes, these surgeries even leave the penis smaller than before .
Interestingly, studies suggest that men attribute more importance to penis size than their female partners. Generally, what is more, important to women is a partner who is tender and caring. Discovering how your partner likes to be touched and caressed tends to make for better sex. The idea that a woman’s priority during sex is to be penetrated by a giant penis isn’t that accurate. In fact, it’s not the inside of the vagina where most of the pleasurable sensations come from, it’s on the outside, at the clitoris, where the most sensitive parts of a woman’s body can be found. You don’t need a big penis (or any penis) to stimulate her there. During intercourse, a woman’s vagina adapts to her partner’s penis, deepening, widening and lubricating during sexual arousal, so in this sense, the size is not so important. Also, a smaller penis is often preferable for oral and anal sex.