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

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.

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

Ads for penis-enlargement products and procedures are everywhere.

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

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

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

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

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

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

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

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

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

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

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

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

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Suspensory ligamentThe need for penis-enlargement surgery is rare.

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

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Stretching.

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

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

Think twice before trying any of them.

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

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

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

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

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

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

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

A vacuum pump can make a penis look larger temporarily.

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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.

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

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

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

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

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

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.

If you're concerned, talk to your partner.

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

Regular exercise can make a big difference.

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

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

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

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These surgeries should be considered experimental.

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

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