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

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

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

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.

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

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

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.

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

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

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Suspensory ligamentThe need for penis-enlargement surgery is rare.

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

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

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

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

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

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

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

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Regular exercise can make a big difference.

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

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

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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.

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

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

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.

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.

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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.

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

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

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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.

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

A vacuum pump can make a penis look larger temporarily.

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

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