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Many men feel better with reassurance that they are "normal" or with advice about how to better satisfy their partner without resorting to cosmetic penis enlargement.

But cutting the suspensory ligament can cause an erect penis to be unstable.

Ads for penis-enlargement products and procedures are everywhere.

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Regular exercise can make a big difference.

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Here are some of the most widely promoted products and techniques:Vacuum pumps.

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Stretching involves attaching a stretcher or extender device — also referred to as a penile traction device — to the penis to exert gentle tension.

But studies have shown that most men who think their penises are too small actually have normal-sized penises.

Larger, more-rigorous research is needed to establish safety and effectiveness.

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Another technique for increasing width is grafting tissue onto the shaft of the penis.

A plethora of pumps, pills, weights, exercises and surgeries claim to increase the length and width of your penis.

If those steps don't help, try talking with a professional counselor about your concerns.

When the suspensory ligament is cut, the penis may look longer because more of it hangs outside the body.

A procedure to make the penis thicker involves taking fat from a fleshy part of the body and injecting it into the penis shaft.

If your penis is about 13 cm (5 inches) or longer when erect, it's of normal size.

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The length of a non-erect penis doesn't consistently predict length when the penis is erect.

Marketers rely on testimonials, skewed data and questionable before-and-after photos.

These surgeries should be considered experimental.

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The most widely used surgical procedure to lengthen the penis involves severing the suspensory ligament that attaches the penis to the pubic bone and moving skin from the abdomen to the penile shaft.

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Even if your penis is smaller than average, it may not matter to your partner.

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But chances are your penis is within the normal size range.

Although this technique appears safer than other methods, there's no scientific proof it works, and it can lead to scar formation, pain and disfigurement.

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In addition, there's no proven way to make a penis larger.

A vacuum pump can make a penis look larger temporarily.

At worst, surgery can result in complications such as infection, scarring, and loss of sensation or function.

The fear that your penis looks too small or is too small to satisfy your partner during sex is common.

If you're concerned, talk to your partner.

Keep in mind that understanding your partner's needs and desires is more likely to improve your sexual relationship than changing the size of your penis.

Severing the suspensory ligament is sometimes combined with other procedures, such as removing excess fat over the pubic bone.

Most of the techniques you see advertised are ineffective, and some can damage your penis.

The solution to your concerns about penis size may be as easy as talking with your partner or getting in shape.

At best, surgery such as division of the suspensory ligament may add half an inch (1 centimeter) to the appearance of the flaccid penis but does not change actual length of the penis.

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Exercises.

Mayo Clinic does not endorse companies or products.

Think twice before trying any of them.

If you're overweight and have a "beer gut," your penis might appear shorter than it is.

A few small studies have reported length increases of half an inch to almost 2 inches (about 1 to 3 centimeters) with these devices.

None of these procedures has been proved safe or effective and can even affect potency and your ability to obtain an erection.

Although some surgeons offer cosmetic penis enlargement using various techniques, it's controversial and considered by many to be unnecessary and in some cases permanently harmful.

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Advertisers would have you believe that your partner cares deeply about penis size.

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Although there's no guaranteed safe and effective way to enlarge your penis, there are a few things you can do if you're concerned about your penis size.

Dietary supplements don't require approval by the Food and Drug Administration, so manufacturers don't have to prove safety or effectiveness.

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When this ligament is cut, the penis appears longer because more of it hangs down.

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This can lead to penile curvature or asymmetry and an irregular looking penis.

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Surgery is typically reserved for men whose penises don't function normally because of a birth defect or injury.

Sometimes called jelqing, these exercises use a hand-over-hand motion to push blood from the base to the head of the penis.

A penis is considered abnormally small only if it measures less than 3 inches (about 5 centimeters) when erect, a condition called micropenis.

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Suspensory ligamentThe need for penis-enlargement surgery is rare.

Better physical conditioning may not only make you look better, but also can improve strength and endurance during sex.

And no reputable medical organization endorses penis surgery for purely cosmetic reasons.

Get in shape and lose the belly fat.

Because pumps draw blood into the penis, making it swell, they're sometimes used to treat erectile dysfunction.

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Studies of available surgical techniques to lengthen the penis have found mixed results in safety, effectiveness and patient satisfaction.

There aren't enough studies of penis-enlargement surgery to give an accurate picture of risks and benefits.

Tempted by products that claim to increase penis size? Get the facts about what to expect from male-enhancement pills, pumps, exercises and surgeries.

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