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A vacuum pump can make a penis look larger temporarily.

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.

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

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

Suspensory ligamentThe need for penis-enlargement surgery is rare.

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

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Stretching.

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

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.

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

Regular exercise can make a big difference.

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

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

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.

These surgeries should be considered experimental.

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

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

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.

Exercises.

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

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

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

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

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

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

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

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

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

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

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

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.

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

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

Mayo Clinic does not endorse companies or products.

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

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

Think twice before trying any of them.

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

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

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

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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.

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.