How it works
Everything begins with a private consultation. Your surgeon will ask about your medical history, listen to what you hope for, examine you to assess your current anatomy, and then talk through whether your goal is added girth, more length, or a change in shape. Your surgeon will also speak honestly about what is reasonable for your body, and sometimes the honest conclusion is that you do not need a procedure.
The type of anesthesia depends on the procedure you choose. Some can be done under local anesthesia (only the surgical area is numbed and you stay awake), while others need regional anesthesia or general anesthesia (you sleep and feel nothing). Your surgeon will explain which form suits your situation and what to prepare beforehand, such as not eating or drinking if you have general anesthesia.
How your surgeon works depends on the goal. To add girth, your surgeon may transfer your own fat (taking fat from another part of your body and placing it around the shaft) or use a suitable material. To lengthen the visible part of the shaft, some techniques release the ligament that suspends the base of the penis, which brings more of the shaft into view from inside the body.
Once the main part is finished, your surgeon closes the incision with sutures and applies a supportive dressing. The details of the incision, its location, and the amount of material are tailored to each person. Your surgeon will describe the specific steps for the procedure you choose during your consultation.