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

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None of these procedures has been proved safe or effective and can even affect potency and your ability to obtain an erection.

Many men believe that increasing the size of their penis will make them a better lover or make them more attractive.

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

There aren't enough studies of penis-enlargement surgery to give an accurate picture of risks and benefits.

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Exercises.

Studies of available surgical techniques to lengthen the penis have found mixed results in safety, effectiveness and patient satisfaction.

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

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Ads for penis-enlargement products and procedures are everywhere.

But studies have shown that most men who think their penises are too small actually have normal-sized penises.

A few small studies have reported length increases of half an inch to almost 2 inches (about 1 to 3 centimeters) with these devices.

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

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

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If you're concerned, talk to your partner.

Sometimes called jelqing, these exercises use a hand-over-hand motion to push blood from the base to the head of the penis.

A vacuum pump can make a penis look larger temporarily.

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.

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Larger, more-rigorous research is needed to establish safety and effectiveness.

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.

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Tempted by products that claim to increase penis size? Get the facts about what to expect from male-enhancement pills, pumps, exercises and surgeries.

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

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.

At worst, surgery can result in complications such as infection, scarring, and loss of sensation or function.

A penis is considered abnormally small only if it measures less than 3 inches (about 5 centimeters) when erect, a condition called micropenis.

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Stretching.

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But chances are your penis is within the normal size range.

In addition, there's no proven way to make a penis larger.

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

And no reputable medical organization endorses penis surgery for purely cosmetic reasons.

Look closely — you'll see that claims of safety and effectiveness haven't been proved.

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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Results may be disappointing, however, because some of the injected fat may be reabsorbed by the body.

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Similarly, studies suggest that many men have an exaggerated idea of what constitutes "normal" penis size.

Although there's no guaranteed safe and effective way to enlarge your penis, there are a few things you can do if you're concerned about your penis size.

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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.

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

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Regular exercise can make a big difference.

This can lead to penile curvature or asymmetry and an irregular looking penis.

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

Marketers rely on testimonials, skewed data and questionable before-and-after photos.

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Dietary supplements don't require approval by the Food and Drug Administration, so manufacturers don't have to prove safety or effectiveness.

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

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

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

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

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

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

These surgeries should be considered experimental.

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