Risk 1.

The long term satisfaction rate is low (33% satisfied patients).

BBC Report

“The [penis lengthening] procedure led to an average increase of 1.3 cm in flaccid penis length.

However, only 35% of men who had the operation were happy with the results.” [Emphasis added].

Referenced Study: European Urology

Link to Full Text Article

“This study assessed the management of patients requesting penile length enhancement by division of the penile suspensory ligament.”


“The overall patient satisfaction rate was 35% but lower in the group with penile dysmorphic disorder at 27%.”

Dr Louise Draper

Satisfaction Rate Penis Enlargement Surgery

“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.” [Emphasis added].

Risk 2.

Penis Lengthening Surgery is considered by some important medical bodies not to have been shown to be safe or effective.

“The American Urological Association considers the division of the suspensory ligament of the penis for increasing penile length in adults to be a procedure which has not been shown to be safe or efficacious [effective].” (emphasis added).

Board of Directors, January 1994
Board of Directors, January 1995 (Reaffirmed)
Board of Directors, September 1995 (Revised)
Board of Directors, January 2001 (Reaffirmed)
Board of Directors, February 2006 (Reaffirmed)
Board of Directors, October 2008 (Revised)
Board of Directors, October 2013 (Reaffirmed)

Board of Directors, October 2018 (Reaffirmed)

Risk 3.

It can make Sex uncomfortable.


NHS – Penis Length Surgery

The most common technique involves cutting the ligament that attaches the penis to the pubic bone and performing a skin graft at the base of the penis to allow for the extra length. Professor Wylie says the surgery can result in an average gain in length to the flaccid penis of 2cm, but there will be no change to the size of the erect penis.

Furthermore, the erect penis won’t point as high as before the operation because the ligament which was cut no longer offers support.

“A lot of men who have this treatment don’t truly appreciate this loss of angle,” says Professor Wylie. “It can make sex quite uncomfortable. You’ve got to do a lot more manoeuvring with your partner. The advantage of a 2cm gain in flaccid length is far outweighed by the loss of angle of erection.”

Professor Wylie

The ligaments that stabilise your penis are partially cut.

These ligaments function to lift and stabilise your penis when erect.

After lengthening surgery the penis can be less stable horizontally and vertically.

There can also be scarring and infection.

Risk 4.

It can leave scarring.

To access the penis suspensory ligaments an incision has to be made, as shown below.

Identitication of the Penile Suspensory Ligament

Severing of the Penile Suspensory Ligament

When all healed the scarring is partially covered by the pubic hair, however some of the scarring will always be visible.

Examples of scarring from penis lengthening surgery are below.

Penis Lengthening Surgery Scarring

Penis Lengthening Surgery Scarring

Penis Lengthening Surgery Scarring

Scarring may not be an issue to you, for example, if you are married or in a long-term relationship and your partner knows about your penis lengthening surgery.

In this case, the scarring is unlikely to cause you any embarrassment.

If you are a young man and expect to have numerous sexual partners during your lifetime, then it would be worth considering whether you will feel comfortable explaining the scars under your pubic hair to current and future sexual partners.

Risk 5.

The most common complication is Penile Shortening.

Unfortunately penile shortening is the most common complication of penis lengthening surgery (ligamentolysis).

“Penile shortening is a major complication of penile lengthening surgery, usually resulting from the freely hanging penis reattaching to the pubic bone located higher on the corporal bodies. The likelihood of this complication can be minimised by the placement of surrounding soft tissues, fat tissues, silicone, polytetrafluoroethylene, Gore-Tex, and other artificial materials.” [Emphasis added].

Nam Cheol Park, Kim, Moon, Penile Augmentation 2016

Image of Two Pencils - One Longer, One Shorter

The risk of ligaments reattaching can be lowered by inserting a silicone buffer to help prevent ligaments from reattaching and the penis shortening.

In a small number of cases, the silicone buffer can become infected and may need to be surgically removed.

Silicone Buffer Penis Lengthening Surgery

Wearing a penis extender for 8 hours per day for 1 year after surgery can also help to prevent retraction and penis shortening after surgery.

It is worth purchasing and wearing a penis extender for an extended time before your surgery, to see how it feels and to make sure that wearing one after surgery will not be too uncomfortable for you, or disrupt your normal routine.


If you don’t wear a penis extender after penis lengthening surgery, the ligaments are likely to reattach to the penis shaft, further down towards the head, making your penis shorter than before surgery.

Surgeons have tried to prevent penile shortening and reattachment by inserting plastic or Gore-tex into the gap between the penile base and the pubis, with varying levels of success.

Penis Extender Device

Before having penis lengthening surgery, first buy a penis extender, to make 100% sure you can wear it for 8-10 hours per day, as part of your normal everyday routine. You’ll need to wear an extender every day after lengthening surgery.

Example of an Extender

Risk 6.


Infection is a major risk of penis lengthening surgery.

In some cases the results can be severe.