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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.

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.

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

Mayo Clinic does not endorse companies or products.

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

These surgeries should be considered experimental.

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

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.

If you're concerned, talk to your partner.

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

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

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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.

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

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

"Mayo," "Mayo Clinic," "MayoClini.

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

Ads for penis-enlargement products and procedures are everywhere.

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

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

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

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Stretching.

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

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

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

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.

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

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

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

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

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

Think twice before trying any of them.

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

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

Check out these best-sellers and special offers on books and newsletters from Mayo Clini.

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

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

Most advertised penis-enlargement methods are ineffective, and some can cause permanent damage to your penis.

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Regular exercise can make a big difference.

This site complies with the HONcode standard for trustworthy health information: verify here.

Suspensory ligamentThe need for penis-enlargement surgery is rare.

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

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

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

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

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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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.

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

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

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

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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.

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

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

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

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

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A vacuum pump can make a penis look larger temporarily.

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