• Forget surgery. The full lengthening and girth enhancement, is expensive (around $15,000) and problematic. Lengthening surgery cuts the ligament that makes an erection stand up. This adds an inch or so, but erections no longer salute. They just hang between your legs and must be manually directed into erotic openings. Girth enhancement takes fat from the buttocks and injects it under the penis skin. Sounds good, but quite often, the result is a lumpy, deformed-looking penis. Not to mention if overtime it could cause problems.
V-Y plasty is a surgical technique in which the suspensory ligament that anchors the penis to the pelvic bone is severed, releasing the shaft and allowing it to extend forward. The procedure is so named because it involves a triangular incision, the edges of which are pulled together and sutured in a "Y" shape. While effective in elongating the penis, it also makes the penis less stable when erect.
Holding your penis, firmly press the skin back into your body by placing both thumbs, nails touching, over the shaft and your remaining fingers underneath for support. Be sure not to cut off circulation to the penis. Hold for 10 seconds then relax and repeat. You want to maintain a continuous pump action. The farther back the penis is held, the better your results will be. Repeat once or twice daily for five minutes. This exercise can also be performed while semi-erect.
Sliding elongation is sometimes used in men who have experienced a shortening of the penis due to Peyronie's disease. The procedure involves the temporary "degloving" of skin and underlying tissues from the shaft of the penis. The constricted sheath surrounding the shaft is then severed, allowing the penis to straighten and lengthen. While the surgery does not involve any grafting, nerve injury is possible.
This doesn’t mean penis surgery isn’t a viable solution for various medical indications like e.g. a penile prosthesis in case of complete impotence (erectile dysfunction), circumcision in case of serious foreskin constriction (phimosis) but for enlagement only, there are less risky ways with good rewards as well. Responsible plastic surgeons only offer surgical penis enlargement for patients suffering from a very small penis or micro penis. In addition, there are only very few surgeons who have the skills and knowledge to safely perform this very special type of medical intervention. In my opinion, it should be the last resort if other conventional methods are not a promising option or failed.
Another option for an “emergency” short term size increase is simply having a warm bath, a shower, wrapping your penis with a wet and warm towel or simply pulling it by hand. The blood flow increases and the flaccid size increases, too. The effect only lasts for minutes, but there are situations this may become handy, especially if you were in a cold environment before and your penis size has “shrunk” to even smaller than usual.
Stretching with weights. Weights or stretching exercises won't bulk up your penis -- it's not a muscle. But hanging weights off your flaccid penis may stretch it a bit, O'Leary says. The catch is that it requires a freakish degree of dedication. "You might have to wear a weight strapped to your penis eight hours a day for six months," says O'Leary. At the end of it, you could be lucky enough to gain about half an inch. Risks include tearing of the tissue, burst blood vessels, and other problems.