Permanent, major enlargement is not reliably achievable without substantial risks. Most marketed pills, creams, exercises, and “jelqing” do not work and can cause injury.

What may help:

If you are concerned about being unusually small, erections, curvature, or a “buried” penis, see a urologist, ideally one specializing in sexual medicine. They can measure correctly and check for treatable causes. A 2024 systematic review of augmentation surgery also highlights that outcomes and complication rates vary considerably.

Avoid anyone injecting silicone, oils, or unregulated fillers into the penis.

Suspensory-ligament release is a cosmetic operation intended to make more of the penile shaft hang outside the body.

It does not lengthen the erectile tissue. It releases a ligament that anchors the penis to the pubic bone, so it may increase visible flaccid length. The effect on erect length is often small or absent, and the erection may point lower or be less stable during sex because that support has been cut.

Main risks include:

The American Urological Association states that suspensory-ligament division for adult penile lengthening has not been shown to be safe or effective in its policy statement on penile augmentation surgery. Anatomy texts also describe this ligament as contributing to erection support and preventing proximal movement during intercourse (Campbell-Walsh Wein Urology).

A 2024 systematic review found highly variable surgical techniques, outcomes, and complication reporting. For an average-size penis, it is generally a poor risk-benefit tradeoff.

If you are considering it, see a board-certified urologist or reconstructive/sexual-medicine urologist for an in-person assessment, not a clinic selling a package procedure. They can check for buried penis, excess pubic fat, erectile dysfunction, Peyronie’s disease, or body-image concerns that may have safer and more effective treatment options.