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

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Companies offer many types of nonsurgical penis-enlargement treatments, and often promote them with serious-looking advertisements that include endorsements from "scientific" researchers.

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

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

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

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

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

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

Results may be disappointing, however, because some of the injected fat may be reabsorbed by the body.

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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.

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.

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

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A vacuum pump can make a penis look larger temporarily.

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Exercises.

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

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

Similarly, studies suggest that many men have an exaggerated idea of what constitutes "normal" penis size.

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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.

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

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

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

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

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

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

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

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.

But using one too often or too long can damage elastic tissue in the penis, leading to less firm erections.

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

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If you're concerned, talk to your partner.

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

Stretching.

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

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

However, there's little scientific support for nonsurgical methods to enlarge the penis.

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

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

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Get in shape and lose the belly fat.

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

Ads for penis-enlargement products and procedures are everywhere.

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

Many men believe that increasing the size of their penis will make them a better lover or make them more attractive.

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Look closely — you'll see that claims of safety and effectiveness haven't been proved.

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.

Regular exercise can make a big difference.

Mayo Clinic does not endorse companies or products.

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

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

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

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

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

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

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

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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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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Think twice before trying any of them.

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.

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

These surgeries should be considered experimental.

corg," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research.

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

Suspensory ligamentThe need for penis-enlargement surgery is rare.

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