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

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

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Think twice before trying any of them.

These surgeries should be considered experimental.

Mayo Clinic does not endorse companies or products.

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

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

If you're concerned, talk to your partner.

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

A vacuum pump can make a penis look larger temporarily.

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

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

Suspensory ligamentThe need for penis-enlargement surgery is rare.

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.

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

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

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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.

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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.

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

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

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

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

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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.

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

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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.

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

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

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

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

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.

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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.

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

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

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

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

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.

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

* These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.