Penis Enlargement Surgery Cost Breakdown—Numbers, Risks, & Safer Options

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Penis Enlargement Surgery Cost Breakdown—Numbers, Risks, & Safer Options

Surgeons performing penis enlargement surgery, illustrating costs, risks, and safer alternatives.
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Bigger junk, smaller bank. Upgrading your manhood can cost a huge chunk of change. Turns out nearly 45% of men aren't exactly thrilled with what nature handed them.

Keep reading—it’ll save you money, regrets, and a very awkward ER visit.

In this article, we'll cover:

  • Discover the true cost of penis enlargement surgery (no surprises).
  • Understand the hidden risks surgeons don't mention.
  • Explore safer, effective, and surgery-free alternatives

Penis Enlargement Surgery Cost Breakdown By Procedure

Doctor holding a penile implant, illustrating penis enlargement surgery costs by procedure.

Penis enlargement surgeries don’t come cheap, and prices vary by procedure and location. Below are the most common penis enlargement procedures—with their typical costs, ranges, and what you get for the money.

Procedure #1 – Penuma Implant Cost (Permanent Girth Enhancement)

This is the famous silicone sleeve implant (now branded as Himplant® by its makers) that adds girth (and a bit of length) by inserting a medical-grade silicone piece under the skin of the penis. It’s the only FDA-cleared cosmetic penile implant on the market.

Average Cost

Around $16,000–$18,000 out-of-pocket (not covered by insurance).

Range

Typically $15,000 up to $25,000+, depending on individual needs. The higher end usually includes extras like required circumcision or pubic liposuction. (Yes, if you’re not circumcised, you’ll likely need to be—that’s an extra few thousand bucks right there.)

Factors Affecting Cost

  • Surgeon’s Expertise & Location: Big-city specialists typically charge higher fees.
  • Anesthesia & Facility Fees: General anesthesia in an operating room adds to the overall cost.
  • Prerequisite Procedures: Additional required treatments, such as circumcision or fat removal, will increase expenses.
  • Aftercare & Revisions: Initial aftercare visits are usually included, but complications or revisions may lead to extra costs.

Permanent or Temporary

Permanent (long-term). The implant is designed to stay in permanently (some call it “semi-permanent” since it can be removed if needed, but it doesn’t dissolve on its own). Think of it as a long-term investment in your length and girth.

Procedure #2 – Suspensory Ligament Release Cost (Flaccid Length)

This male enlargement procedure cuts the ligament that tethers your penis to the pubic bone, allowing more of the inner shaft to hang outward. It can make the flaccid penis appear longer (erect length change is minimal), but it’s a complex surgery with significant variability.

Average Cost

Often around $15,000 in the U.S. for the surgery alone.

Range

Approximately $8,000 on the low end up to $20,000+. Many U.S. surgeons quote between $15,000 and $25,000 for this procedure, especially in major cities. Overseas (e.g., Turkey), it can be cheaper (some packages as low as ~$5,000), but quality and safety can vary.

Factors Affecting Cost

  • Combined Procedures: Ligament release performed alongside pubic fat removal or skin graft increases total expenses.
  • Surgeon’s Skill & Certification: Highly skilled or certified urologic surgeons usually command higher fees.
  • Hospital vs. Clinic Setting: Procedures done in a hospital operating room typically involve greater facility costs than clinic-based surgeries.
  • Post-Op Devices: Devices like stretchers or weights to prevent ligament reattachment may or may not be included in the initial quoted price.

Permanent or Temporary

Permanent (with caveats). Once the ligament is cut, it’s permanently altered, but without diligent aftercare the body may form scar tissue that partially reattaches or pulls the penis back, reducing the length gain over time. In other words, the surgical cut is permanent, but the visible effect may diminish if things heal poorly.

Procedure #3 – Dermal Grafting Cost (Permanent Girth Enhancement)

Dermal grafting involves taking a graft of tissue (skin and fat) from another part of your body or using a processed dermal matrix (like AlloDerm) and wrapping it around the penile shaft to increase girth (and sometimes length). It’s an older method for penile enhancement.

Average Cost

Roughly $20,000 in the U.S., similar to an implant.

Range

About $15,000 to $25,000 is common for a full dermal graft procedure. This can go higher if multiple stages are needed. (Clinics in the UK charge around £8,000–£14,000 for a similar procedure, and some medical tourism hubs like Turkey quote €4,000–€6,000, but those prices often exclude travel and aftercare.)

Factors Affecting Cost

  • Graft Material & Technique: Using processed human dermis or synthetic matrices significantly increases expenses due to high material costs.
  • Surgical Complexity: Procedures requiring two separate surgeries (harvesting and placement) result in higher anesthesia and facility fees.
  • Surgeon’s Specialty: Plastic surgeons with expertise in microsurgery typically charge premium fees.
  • Aftercare & Follow-ups: Multiple follow-up visits are often necessary to ensure successful graft integration, adding to total costs.

Permanent or Temporary

Permanent (with possible partial loss). A successful graft integrates and stays permanently, though some thickness can be lost if a portion of the fat is reabsorbed over time. Think of it like a permanent implant made of your own flesh—it stays, but your body might remodel it a bit.

Procedure #4 – Fat Transfer Cost (Semi-Permanent Girth)

In this procedure type, the surgeon liposuctions fat from one part of your body (belly, thighs, love handles) and injects that fat into the penis for added girth. This is minimally invasive compared to full permanent male enlargement surgery—often done with just needle injections—but results can be hit-or-miss.

Average Cost

$5,000 (per session) is a ballpark figure in the U.S.

Range

$3,500 to $8,500 for a single fat transfer session is typical. If you want significant girth, you might need multiple rounds. For example, some patients undergo 2–3 fat injections over time; total costs can accumulate to $15,000+ (one source cites $14,000–$30,000 for three treatments).

Factors Affecting Cost

  • Volume of Fat Removed/Injected: Larger volumes require longer procedures, raising overall expenses.
  • Anesthesia Type: Small-volume transfers can use local anesthesia with sedation, but large transfers often need general anesthesia, significantly increasing costs.
  • Clinic vs. Hospital Setting: Procedures done in-office at clinics typically have lower fees compared to hospital-based surgeries.
  • Touch-Up Procedures: Because not all injected fat survives, budgeting for additional rounds of treatment may be necessary.

Permanent or Temporary

Semi-Permanent (variable). The fat that “takes” (survives) in the penis stays permanently, but typically 30-50% of injected fat is absorbed by the body within months. So you might keep some permanent girth gains, but not all—and you could need repeat injections to maintain or increase it. It’s a bit of a gamble: you pay for X cc’s of fat, but only a fraction may stick around.

Procedure #5 – Girth Enhancement Fillers Cost (Temporary Girth Enhancement)

This type of penile lengthening procedure uses hyaluronic acid (HA) fillers or other injectable fillers (the same kind used in facial cosmetics) to plump up the penis. Brands and types vary—some use standard HA, others use longer-lasting fillers or even silicone microdroplets (highly risky).

This option is nonsurgical (just injections in the office), making it popular for those who want instant results without surgery.

Average Cost

$4,000–$5,000 per treatment (several syringes worth of filler).

Range

$1,000 (very small enhancement) up to $10,000+ for a more significant filler volume. The cost scales with how much filler is used—and increasing girth by an inch can require a lot of filler. In the U.S., a typical round in many clinics might run a few grand; in the UK, £6,000–£10,000 isn’t unusual for a big job, while in Turkey, the same might cost €2,500–€4,000.

Factors Affecting Cost

  • Type of Filler: Premium, long-lasting fillers cost significantly more per syringe.
  • Quantity of Filler: Costs add up quickly with multiple syringes (each typically $500–$1,000, often requiring 5–20 syringes total).
  • Injector’s Expertise: Experienced, board-certified urologists or cosmetic doctors command higher fees compared to less-qualified providers.
  • Location of Clinic: High-end locations like Beverly Hills charge substantially more than smaller-city medspas.
  • Anesthesia & Facility Fees: Minimal or no added costs here, since filler injections only require local numbing, not a full operating room.

Permanent or Temporary

Temporary. Most HA fillers last 1 to 2 years before the body naturally breaks them down. Some thicker fillers might last a bit longer, but generally, you’ll need repeat treatments to maintain the girth. (In fact, over a man’s “lifetime” of maintenance, total costs can hit five figures; one estimate pegs lifetime filler costs around $13,000–$25,000 to keep that penis pumped). The only way to make filler “permanent” is to keep refilling it!

To visualize how much does penis enlargement costs side by side, the following table shows a quick comparison:

A chart with an overview of the previously mentioned penis enlargement procedures and its costs.

Money aside, let’s talk about the real price of these procedures—the toll on your body and mind.

Non-Monetary Costs (Risks & Long-Term Impact You Must Know)

If you're a good candidate and thinking about penile enlargement surgery, well... let’s slow down for a moment and talk about the stuff your surgeon might conveniently gloss over. Sure, the penis enlargement cost hits your wallet, but what about the toll on your actual manhood? Spoiler: It ain’t pretty.

When they say, “paying the price,” brother, it’s not just cash—we’re talking permanent stakes in your sexual health.

Doctor explaining long-term risks and impacts of penis enlargement surgery to Marco.

Risk #1 – Permanent Nerve Damage & Loss Of Sensitivity

Your nerves down there are like the wiring to your pleasure center. Messing with them through penile enlargement surgery is risky business:

  • Loss of Sensation: Yeah, your shaft could literally feel numb post-surgery. Temporary numbness is common, but some guys permanently lose sensitivity (penis circumferentially or otherwise)—not exactly a great ROI.
  • Painful Erections: Imagine shelling out thousands only to wince each time you get hard. One slip-up during surgery can cause lasting damage.

Risk #2 – Erectile Dysfunction (ED) from Surgical Complications

Listen, nobody wants weaker erections after paying big bucks for a male enhancement. But surgical complications can lead exactly there:

  • Weak or Unstable Erections: Cutting the suspensory ligament can leave you feeling less supported in the groin area. Ligament release can even put your erection at risk during vigorous activity—yikes.
  • Blood Flow Issues: Scar tissue or overly aggressive injections (especially shady cosmetic procedures) can strangle vital blood flow, causing ED or weaker erections.
  • Real talk: Surgery is not an ED cure. Don’t fix one problem by risking another.

Risk #3 – Scarring, Deformities & Permanent Visual Changes

Sometimes the quest for an "impressive" penis leaves you with a visually messed-up tool:

  • Ugly Scarring & "Turkey Neck": All surgical methods leave marks, and ligament cuts can make your pubic skin creep awkwardly onto your shaft.
  • Lumps & Curves: Fat transfers and dermal fillers injected unevenly can cause lumps or weird curves. Think "cobblestone," not "smooth operator."
  • Weird Hair Growth: Without proper skin adjustment, pubic hair could literally climb up your shaft. Sexy, huh?

Risk #4 – Psychological Risks: Dissatisfaction & Regret Post-Surgery

The emotional fallout from surgical intervention can hit harder than the physical risks involved:

  • Post-Surgery Blues: It's common to wake up and think, “What have I done?” Swelling, bruising, and anxiety can seriously mess with your head.
  • Body Dysmorphia: Men with average-sized penises often remain dissatisfied after surgery because the problem was never physical—it was psychological.
  • Confidence Issues: If the results aren't perfect (and they rarely are), you could become more insecure, not less.

Risk #5 – Additional Revision Surgeries (Hidden Costs & More Risks)

Once under the knife might not be enough—extra procedures are common, adding hidden enlargement costs:

  • Implant Removal or Adjustments: Implants can shift or cause issues, needing removal or repositioning, which significantly bumps up the final cost.
  • Frequent Touch-ups: Dermal fillers or fat injections often require follow-up treatments to maintain your enhanced girth.
  • Scar Correction Surgeries: Bad scarring or deformities might lead you back into the OR, facing more bills and missed work again.

Look, I get the appeal of a confidence boost. But permanent results mean permanent risks. It’s not just about payment options or financing options—it’s your sex life, your body, and your mental health on the line.

Before you leap into surgery, explore nonsurgical methods and ask yourself: "Is risking the health of your manhood really worth a slightly bigger shaft?" Choose wisely. Confidence doesn't come from size alone.

Okay, doom and gloom over. Now, let’s shift to a more positive note—what can you do to boost your confidence and make a smart decision? Time for some expert tips.

Andrew’s Expert Tips Before Considering Surgery

Marco demonstrating jelqing, a non-surgical penis enlargement method recommended by Andrew before considering surgery.

Alright, brother—after all that heavy talk about potential risks, you're probably wondering, "Should I even do this?" Look, this decision’s deeply personal, but here’s the straight-up, no-BS advice you need from someone who's seen it all.

Tip #1 – Consider Non-Surgical Options First (Natural Penis Enlargement)

Before you let a scalpel anywhere near your prized possession, exhaust all non-surgical methods. Stretchers, pumps, even certain exercises (yep, including jelqing—careful with that!) can deliver penile enhancement safely and affordably, without risking permanent damage.

Pro tip: Improve overall fitness and reduce fat around the groin—instant visual boost, no surgery required.

Tip #2 – Understand Exactly What “Permanent” Means In Enlargement

Hmm, “permanent” sounds good, right? Well, here’s the deal—"permanent" procedures like silicone implants stay forever, along with any scars or complications they cause. Temporary procedures offer short-term results, but at least you’re not married to your surgeon’s mistakes.

Tip #3 – Realistic Expectations: Size Gains vs. Marketing Hype

Real talk: you won’t go from average to adult-film star overnight. A realistic win is about half an inch to an inch gained through penile augmentation. Remember, partners care more about connection and technique than your penis size. Size gets attention, technique keeps it.

Tip #4 – Choose Your Surgeon By Expertise, Not By Cost

This isn’t a budget shopping scenario. Find a board certified plastic surgeon who’s specifically experienced in procedures performed for penile enhancement.

  • Check their before-and-after portfolio.
  • Confirm how many similar enhancement surgery procedures they've successfully done.
  • Avoid clinics promising miracles at suspiciously affordable costs or offering sketchy payment plans. Your erections—and confidence—depend on their skills, not their price tag.

Tip #5 – Plan For Extended Recovery & Aftercare

Recovery isn’t like a weekend hangover; we're talking weeks of downtime. Expect missed work, strict instructions, and absolutely zero sexual activity for 4–6 weeks. Stock your fridge, prep loose clothes (no tight jeans, seriously), and mentally brace for bruising and swelling. And please—no premature test-drives!

Confidence and technique outweigh any surgical enhancement. A present man who’s confident and knows exactly how to touch a woman will always beat the guy who’s just bigger.

Presence and skill are king, not girth. Don’t underestimate improving your bedroom skills, communication, and intimacy—these beat surgical enhancements every day.

Isabel

SEXUALITY COACH

Think hard (pun intended) before you choose surgery. There are alternatives to try, expectations to manage, and prep work to do. But if you decide enlargement surgery is for you, do it the smart way—with top-notch medical help and a plan for both body and mind. And never forget, at the end of the day, it’s the lover, not the length, that makes sex great.

Still have burning questions? Below are some FAQs to clear up any remaining doubts.

Frequently Asked Questions

Alright, man, let's wrap this up. You’ve got questions—I’ve got real answers.

Will penis enlargement surgery result in scars?

Yep, surgical procedures mean scars—no way around it. Good surgeons (with more expertise) hide the scars smartly near your groin or pubic line. Scars usually fade after your recovery period, but guys who scar badly might end up needing creams or injections. If avoiding scars matters, maybe consider different methods like injections—fewer scars, less trauma.

How common are complications from penis enlargement surgery?

Complications aren't exactly rare. About 20–30% of surgical procedures run into trouble (infections, scarring, nerve issues). Implants sometimes shift around (not ideal), and about 3% of guys even remove them entirely due to pain or regret. Translation: Don't gamble your manhood lightly.

Can surgery guarantee improvement in sexual satisfaction?

Haha, no guarantees, my friend. Cosmetic surgery might boost your self-esteem temporarily—but better sex isn't automatic. Size matters way less than technique, chemistry, and confidence. Surgery risks temporary results at best and regret at worst. Bottom line: Surgery won't magically fix bedroom problems.

Are follow-up surgeries always necessary?

Not always—but often enough to budget for them.

  • Implants: Sometimes need adjusting or removal.
  • Grafts & fillers: May need touch-ups or multiple rounds.
  • Ligament cuts: Need aftercare (compression garments or stretchers) to keep results.

Expect follow-ups and extra costs, not just a single, one-and-done payment.

Does the cost of penis enlargement surgery include aftercare & follow-ups?

Mid-range cost packages usually include immediate aftercare, but long-term follow-ups or complications? Often not covered. Insurance? Ha! Forget insurance cover—most insurers view penis enlargement strictly as elective plastic surgery, even if you have genuine medical conditions or abnormal body structures. Always clarify exactly what's included and budget accordingly.

How to identify if a penis enlargement clinic is legitimate?

Don’t pick your clinic like you choose your pizza place. Do the homework:

  • Check for special equipment, proper licenses, and board certifications.
  • Verify the clinic handles your specific procedure regularly—experience counts big-time.
  • Look out for red flags (like pushy salespeople promising impossible potential benefits).
  • Trust your gut: A legit place feels professional, transparent, and reassuring.

If your instincts scream "run," do exactly that.

Ready to transform from a One-Minute-Man to an all-night stand? Join our exclusive online course “The Lasting System” and overcome performance issues like premature ejaculation (lasting longer) or erectile dysfunction (getting & staying rock hard). Don’t just read about it - master it! Enroll today and start transforming your life. Get started Now!

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Andrew Mioch

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Andrew Mioch is a certified sexologist and one of the world’s leading sex coaches and best-selling author after spending 10 years learning from experts all over the world.

Andrew has personally coached over 5,000 men. His expertise is regularly sought in publications such as Men's Health, Medium, and Cosmopolitan Magazine.

These days, Andrew spends most of his time coaching clients privately and also through SQL’s online Mastery Academy.

Disclosure: Our content is reader-supported. This means if you click on some of our links, then we may earn a commission. We only recommend products that we believe will add value to our readers.

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