Penis lengthening surgery, also known as penoplasty, is a procedure to lengthen the penis. Men seek penile lengthening for both physical and psychological concerns – most patients who seek penile lengthening have a desire to not only feel more confident, but to also correct issues such as performance anxiety or impotence that have stemmed from insecurities about their penis size. The surgery increases the non-erect length of your penis and, to a lesser extent, the erect length. The average gain in length is 2 – 4 cm but varies from person to person. It’s not possible to know ahead of time how much actual length you will gain after the surgery. About ½ of the penis is located inside the body and is attached to the pubic bone by the suspensory ligament. This attachment cause the penis to curve along the pubic bone and its release allows the penis to be brought outward in a straighter path thereby increasing the external length of the penis. Release of the internal part of your penis is done by dividing a ligament holding it in place (suspensory ligament as per the diagram below). No incision is made on the penis itself, but a small (approx 3 cm) incision is made above the penis within the pubic hair area. In some cases, additional procedures to reduce the pubic fat pad with pubic liposuction can be performed to enhance the results. After the penile lengthening procedure, a small wound at the base of the abdomen is the only evidence of surgery. This wound heals quickly and is well disguised by the pubic hair. Following lengthening, both the penis and the scrotum are swollen and this takes some time to resolve. During all types of recovery, patients should refrain from sex for at least six weeks. If post-operative instructions are followed, including two weeks of bed rest, recovery will not be painful in most cases.