Free advice:

Evidence-based surgical penis enlargement in Darmstadt

Your experts for lasting results.
Discreet expertise in sensitive matters.

The decision to have a penis enlargement is often associated with many questions and uncertainties. Our job is to take these worries away from you and provide you with conscientious, comprehensive and competent advice.

Our consultation and surgical penis enlargement is based on the latest scientific findings, evidence-based medicine, decades of experience and extensive patient surveys.

Our penis enlargement surgeon Dr. Jethon has been performing this procedure practically every day since 2006. During this time, he has personally performed more than 8,000 verifiable penis enlargements.

See also: References in the text and list of sources

Important note: The following information does not replace a personal consultation with our experienced doctors in Darmstadt. Arrange a discreet appointment for individual treatment planning.

Find the evidence-based answers to your questions below:

Which doctor should perform a surgical penis enlargement?

Why penis enlargement is not a harmless procedure

Many patients believe that surgical penis enlargement is a simple procedure with no risk. Some advertising promises made by doctors have no scientific basis.

Competent advice and the safe, effective performance of a surgical penis enlargement should only be carried out by a doctor who is personally experienced in this procedure.

Why is many years of experience essential?

The study situation on surgical penis lengthening is poor and shows contradictory results. Further research and the creation of guidelines for this operation are necessary. When performed with extensive experience and using evidence-based techniques, the results of enlargement are very good, with low risk and high patient satisfaction (Citation: 1).

Why can't every doctor master this operation?

Surgical penis enlargement is not included in the training catalog of a urology specialist (Citation: 2, 3). And therefore neither is lengthening.

The assumption by patients that every specialist is trained in this operation is wrong. It is a niche operation.

When an experienced doctor operates and uses evidence-based methods of high quality:

Important scientific findings:

Risks? Of course - but controllable

Every medical procedure involves risks. However, thanks to our specialization, precise surgical technique and decades of experience, penis enlargement is associated with a very low risk of complications.

Conclusion: Our focus is on quality, sustainability and your long-term satisfaction. That’s why we avoid trends and advertising promises. We also don’t use long-known techniques to sell them as novelties, which unfortunately happens again and again. We concentrate on: safe, natural and permanent penis enlargement with medical excellence.

Extension even when excited?

Yes, extension also in erection

Our experience and the application of the right evidence-based technique also leads to an increase in erection length. This has been proven by independent scientific studies (Citation: 1).

Some doctors claim that it is not possible to prolong an erection. This is definitely wrong. We would like to emphasize again the importance of experience and competence for the result. Even when using the identical technique, the results will vary depending on the doctor treating you (Citation: 9)

Our approach to effective penis enlargement combines the highest level of experience, skill and medical precision. Added to this are the highest quality materials, human empathy and the utmost discretion.

What is our specialty?

The founding father of UGRS, Dr. Jörn Ege, who is responsible for penis enlargement, performed surgical penis enlargement as early as 1993. He was socially criticized for years for performing this operation.

He trained the current UGRS surgeon Dr. Jethon in this operation between 2002 and 2006. In 1995, Dr. Jörn Ege also developed the first penis extender for use after surgery, the JES Extender named after him.

UGRS doctors and the UGRS team have 20 years of experience, competence and skill ahead of most other surgeons in Germany.

Milestones of our expertise:

Our evidence-based treatment approach combines:

What result can we achieve?

Our highly effective method is based exclusively on the body’s own tissue. No foreign materials are used.

The operation is an outpatient procedure under local anesthesia with twilight sleep; no general anesthesia is necessary. Thanks to our “speed recovery” technique, you will soon be fit for everyday life again.

Penis enlargement can be combined with penis thickening. See under main menu item “Penis enlargement”.

Your advantages at a glance

We answer your questions

Felix Jung
Felix Jung

Your contact person is Mr. Felix Jung, Head of the Plastic Surgery Patient Secretariat.

We will be happy to have one of our doctors call you back if you make an appointment.

We will be happy to take the time to answer your questions about penis enlargement surgery.

You can reach us from Monday to Friday, from 9:30 to 19:00 or individually by appointment.

What is the organizational procedure for penis enlargement?

Transparency from the initial consultation to aftercare

Penis enlargement surgery should not be undertaken lightly. That’s why every treatment begins with a detailed personal consultation. Together with you, we clarify your goals, discuss possible results and openly answer all questions about risks, the healing process and the technique. Your decision on penis enlargement should be well-founded.

Before the operation

The procedure itself

After the operation (on the day of the operation)

After the operation (day after)

Thanks to our special technique, many patients report minimal pain, rapid recovery and a high level of fitness for everyday life just a few days after the procedure.

What type of anesthesia is used?

We have been performing penis enlargement on an outpatient basis in twilight sleep for around 20 years. Our experience and expertise make this possible.

You will experience the procedure in a relaxed manner, will not notice anything and will be fit again very quickly.

Of course, the anesthesiologist is always present.

Scientific basis for these benefits:

What technology is used for the extension?

Scientifically superior results

Our penis enlargement technique (usually as part of surgical penis enlargement) is based on the latest scientific findings, evidence-based medicine and decades of experience.

Why pure ligamentolysis is not sufficient: Studies have clearly shown that the original surgical technique of pure ligamentolysis achieves poorer results (Citation: 16).

Our combined technique: UGRS doctors have therefore been using a combined technique that has been modified over the years since 1993:

Important to know: you can find out why we generally do not use silicone implants for penis enlargement under the menu item “Why don’t we use any other technique for penis enlargement?”.

This combined lengthening technique as part of penis enlargement achieves better results, especially when performed professionally by an experienced doctor (Citation: 1, 9, 16).

Explained in patient-friendly terms: We take out a little more of the inner part of the penis, which lengthens the outer part.
We used to describe the ratio as 50:50.

Important: No incisions are made in the penis – there are no risks in this regard.

Known from print & TV

Why don't we use a different technique for penis enlargement?

Why don't we use silicone?

Read here about often concealed risks and dangers

We list methods offered as an alternative to the technique we use and evaluate them according to scientific knowledge and personal experience.

Why don't we use silicone sleeves for penis enlargement?

In the USA in particular, silicone plates for penis enlargement are offered under different product names, even by the same manufacturer. They are often offered as simple, low-risk and with equivalent results.

What important scientific findings are there on silicone sleeves?

Important scientific findings:

Why don't we use silicone sleeves?

Our technique leads to an enlargement in the flaccid AND erect state and does not involve the risks of foreign material.

Why don't we use silicone balls in the penis enlargement technique?

A silicone ball is also an artificial foreign body and there is a risk of biofilm formation, infection, foreign body reaction and systemic reaction to the insertion of silicone (Citation: 18, 19, 22).

What are the mechanical risks of silicone balls during sexual intercourse?

There is also considerable mechanical force at the point between the penis and the pelvic bone during sexual intercourse. In the worst case, the implant can slip.

Conclusion:

Our lengthening technique uses only the body’s own tissue. This eliminates additional risks associated with artificial material and the position of the implant.

Thanks to our experience and expertise, we do not need to use a silicone ball to achieve good results

Are there options for penis enlargement without surgery?

We do not have to resort to science to answer this question, but can answer it on the basis of general logic and common knowledge:

If there was something simple and inexpensive for penis enlargement, we doctors wouldn’t be in the operating theater from morning to night.

Can hormone pills or hormone patches cause penis enlargement?

If hormone pills or hormone patches caused penis enlargement, all professional bodybuilders and millions of older men who take these pills due to age-related hormonal weakness would have very long penises because they take these pills for years. The opposite is the case.

What should I think of penis enlargement belts?

With regard to penis stretching belts, it should be noted that the best-known one refers to an FDA approval that does not even exist and presents a study on effectiveness that firstly relates to a different product and secondly is controversial in the scientific community.

Whether it is credible that it would be risk-free to pull the penis aside for hours every day for 6 months or longer is a question you can surely answer for yourself.

Your expert for penis enlargement

Dr. Christoph Jethon

Dr. med. Christoph Jethon
Specialist in plastic, reconstructive and aesthetic surgery

Over 8,000 penis enlargement operations
consisting of penis enlargement and penis thickening since 2006

Global Survey Plastic Surgery 2020
2024 Plastischer & Ästhetischer Chirurg Dr. Jethon - Darmstadt
Proven Expert Kundenbewertungen

What happens before & after the operation?

Well prepared = relaxed throughout the procedure.
Good preparation and clear aftercare are crucial for an optimal surgical outcome. Our aim is for you to feel well informed, safe and supported at all times. That is why you will not only receive medical care from us, but also clear, understandable instructions for every phase.

Before the operation

After the operation

Speed recovery: why our patients are fit so quickly

Thanks to the combination of experience, gentle technique, keyhole surgery and relaxed anesthesia in twilight sleep, our patients experience penis enlargement as uncomplicated. Many are able to return to work after just a few days – depending on their workload. This is what we call medical efficiency for your quality of life.

Our promise: We will not leave you alone after your penis enlargement. You will receive written aftercare instructions, a contact person for queries – and, if necessary, a short-term check-up. Your safety, satisfaction and recovery are our focus.

Costs & financing

Clarity right from the start – without hidden fees.
High-quality medical services have their price – but with us, you know where you stand right from the start. We focus on fair, transparent pricing without unexpected additional costs. Because trust begins with openness.

How much does a penis enlargement cost?

The combination of both procedures not only saves time and the healing phase, but also significantly reduces the overall costs. All prices include surgery, anesthesia, aftercare and medical care.

Payment options

Why quality has its price

Our surgical technique is based on over two decades of research, development and international exchange. We work exclusively with qualified personnel, high-quality materials and state-of-the-art instruments. All of this is incorporated into the costs – as well as your safety, satisfaction and a lasting result.

Our promise

If you’re considering penis enlargement, do it right – with a specialized team that doesn’t compromise.

How long is the average penis when erect?

Read our analysis based on scientific facts and publications below.

The European condom standard EN ISO 4074 can clearly be used for the European penis: The standard-compliant condom has a length of at least 16 cm (Citation: 23, 24). As the DIN standard requires condoms to fit snugly so that their protective function can be effective, the average European penis cannot be significantly shorter than 16 cm. Otherwise, all standard-compliant condoms would be too large and would not be able to fulfill their protective function.

A recent study of 4,800 Italian men found that the average Italian penis is 16.78 cm long when erect (Citation: 25). This is roughly in line with the European condom standard.

The average European penis is therefore approx. 16 -17 cm long when erect

The fact that an average penis is only 14.13 cm or even only 12.3 cm long, as has often been claimed in the past, is simply wrong.

What led to these incorrect values in publications in the past?

Find out here what caused this incorrect value:

Has penis length changed in recent years?

Interestingly, a large-scale study has found that penis size has increased by 24% in the last 20 years (Citation: 26). This is not actually possible because the time span is far too short for a serious evolutionary change.

Certain measurement methods led to incorrect results

The previous procedure was to determine the penis length in erection by stretching the flaccid penis. One study found that on average the penis is 2.64 cm too short in relation to a real erection (Citation: 27).
In old studies, it was apparently wrongly assumed that the stretched length of the flaccid penis is identical to the erection length.

Why are ethnic differences in penis size important?

In addition, it is likely that the old values for penis length were based on the average man worldwide. In the past, it was not taken into account that there are considerable ethnic differences in penis size (Citation: 28, 29, 30).

The old studies on average penis size included Asian men, although Asian men, especially Chinese men, have significantly smaller penises than European or US men (Citation: 30).

Conclusion: The studies and publications prior to 2006 and later studies that referred to the old ones obviously overlooked the error-prone measurement method of elongation (which is also dependent on the traction force) and the ethnic differences. They are therefore based on false assumptions.
It can be assumed that penis sizes have not recently increased by 24%, but have always been 24% larger than measured due to the flawed measurement protocol.

What is the scientifically correct approach to assessing penis size and related problems?

It is now scientifically recommended to measure average penis sizes in relation to their ethnic variance in order to better address the needs of patients or partners (Citation: 29).
For a European woman who has a problem with her partner’s penis size, it is of no use to be told the average size of a Chinese man’s penis.

Is penis length important?

Based on our decades of evidence-based work, extensive experience and interviews with patients and their partners, we can clearly answer this question with “yes”.

What does science say about the importance of penis size?

A study by the California State University and the University of California, which analyzed a survey of around 52,000 men and women in partner relationships, confirms that 84% of women are generally satisfied with the size of their partner’s penis, but also reports that 14% of women would like their partner to have a larger penis (Citation: 31).

Why is 14% dissatisfied women a significant number?

14% may not sound like much at first, but in reality it is a lot, making the issue of penis size very important for women and their sexual satisfaction. Because 14% means more than 8 million women in the USA alone and more than 12 million women in Europe.

This means that the issue of penis size is much more important for women than previously assumed by society.

Does the preference for larger penises have an evolutionary advantage?

Scientists have been investigating whether there is an evolutionary reason for women’s preference for larger penises.

The results are impressive:

How has the female body influenced penis size in evolutionary terms?

On the one hand, the female body seems to have had a decisive evolutionary influence on penis size. The penis seems to have increased in size because the human vagina is larger compared to primates, so that the larger head of a human child, which results from the larger brain, can fit through it. In order for the human penis to continue to fill the vagina during sexual intercourse, it inevitably had to become larger (Citation: 32).

Do larger penises increase the probability of reproduction?

Larger penises also appear to increase the probability of reproductive success (Citation: 33).

A larger penis could therefore be important in terms of the probability of reproduction.

What role does the size variance of the vagina play?

Studies confirm a considerable variance in the size of the female vagina (Citation: 34, 35). Consequently, it is probably correct to assume that penis size also plays a role in finding a suitable partner.

Do women become active in penis enlargement decisions?

Who makes appointments for penis enlargement surgery?

Women are becoming active: We can report from our evidence-based medical practice that more and more women are making an appointment for penis enlargement surgery for their partner.

Penis enlargement surgery is not a male issue, as was long assumed, but affects both partners equally.

The medical information provided on this website is for general information purposes only and does not replace a personal consultation with our doctors. As a tertiary medical center, we are also available for second opinions.

About the author

Jörg Hagen, doctor

The author Jörg Hagen has been the medical director of UGRS International Germany since 1995 and has over 30 years of experience in penis enlargement and complex urological issues. He is regarded as one of the leading experts in the interests of patients in Europe. His international activities, excellent diagnostics and legal successes in patient rights make his assessments particularly well-founded. Patients appreciate his scientifically based, discreet and trustworthy care. His articles are based on many years of practice and well-founded information at the highest level.

© Copyright Jörg Hagen

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9 Manfredi C, Romero Otero J, Djinovic R. (2022) Penile girth enhancement procedures for aesthetic purposes. Int J Impot Res. 2022 May;34(4):337-342.
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10. Birkmeyer JD, Stukel TA, Siewers AE, Goodney PP, Wennberg DE, Lucas FL. (2003) Surgeon volume and operative mortality in the United States. N Engl J Med. 2003 Nov 27;349(22):2117-27.
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11 Chowdhury MM, Dagash H, Pierro A. (2007) A systematic review of the impact of volume of surgery and specialization on patient outcome. Br J Surg. 2007 Feb;94(2):145-61.
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12 Mitchell P, Gottschalk M, Butts G, Xerogeanes J. (2013) Surgical site infection: A comparison of multispecialty and single specialty outpatient facilities. J Orthop. 2013 Sep 5;10(3):111-4.
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13. Pang G, Kwong M, Schlachta CM, Alkhamesi NA, Hawel JD, Elnahas AI. (2021) Safety of Same-day Discharge in High-risk Patients Undergoing Ambulatory General Surgery. J Surg Res. 2021 Jul;263:71-77.
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14 Su X, Zhao Z, Zhang W, Tian Y, Wang X, Yuan X, Tian S. (2024) Sedation versus general anesthesia on all-cause mortality in patients undergoing percutaneous procedures: a systematic review and meta-analysis. BMC Anesthesiol. 2024 Apr 2;24(1):126.
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15. Fedok FG, Ferraro RE, Kingsley CP, Fornadley JA. (2000) Operative times, postanesthesia recovery times, and complications during sinonasal surgery using general anesthesia and local anesthesia with sedation. Otolaryngol Head Neck Surg. 2000 Apr;122(4):560-6.
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16 Deskoulidi PI, Caminer D. (2023) Lengthening Phalloplasty with Division of the Suspensory Ligament and Distally Based Fat Flaps in Penis Enlargement Operations. Plast Reconstr Surg. 2023 Sep 1;152(3):434e-437e.
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17 Elist JJ, Valenzuela R, Hillelsohn J, Feng T, Hosseini A. (2018) A Single-Surgeon Retrospective and Preliminary Evaluation of the Safety and Effectiveness of the Penuma Silicone Sleeve Implant for Elective Cosmetic Correction of the Flaccid Penis. J Sex Med. 2018 Sep;15(9):1216-1223.
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18. Anderson JM, Rodriguez A, Chang DT. (2008) Foreign body reaction to biomaterials. Semin Immunol. 2008 Apr;20(2):86-100.
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19 Arciola CR, Campoccia D, Ehrlich GD, Montanaro L. (2015) Biofilm-based implant infections in orthopaedics. Adv Exp Med Biol. 2015;830:29-46.
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20 Juwono T, Buscaino K, Fernandez-Crespo R, Carrion R. (2021) Infection of the Penuma penile implant and associated post-operative complications: A case report. Urol Case Rep. 2021 Sep 9;39:101846.
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21. Siegal AR, Celtik KE, Razdan S, Sljivich M, Kansas B, Shah B, Levine LA, Valenzuela RJ. (2024) A multi-institutional update on surgical outcomes after penile silicone sleeve implantation. Ther Adv Urol. 2024 Apr 2;16:17562872241241858.
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22 García Callejo FJ, Calvo González J, Agustí Martínez J, Bécares Martínez C, Monzó Gandía R, Marco Algarra J. (2013) Neck lymphadenitis due to silicone granuloma after mammary implants. Acta Otorrinolaringol Esp. 2013 May-Jun;64(3):217-22.
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23rd European condom standard EN ISO 4074 – Official links
DIN Media (Official Sale): https://www.dinmedia.de/de/norm/din-en-iso-4074/263522064

24DIN EN ISO 4074:2024-09 – Draft standard for the next version
DIN Media (draft): https://www.dinmedia.de/de/norm-entwurf/din-en-iso-4074/382482368

25. Di Mauro M, Tonioni C, Cocci A, Kluth LA, Russo GI, Gomez Rivas J, Cacciamani G, Cito G, Morelli G, Polloni G, di Maida F, Giunti D; Trauma, Reconstructive Urology, Men’s Health Working Parties of the European Association of Urology (EAU) Young Academic Urologists (YAU). (2021) Penile length and circumference dimensions: A large study in young Italian men. Andrologia. 2021 Jul;53(6):e14053.
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26. Belladelli F, Del Giudice F, Glover F, Mulloy E, Muncey W, Basran S, Fallara G, Pozzi E, Montorsi F, Salonia A, Eisenberg ML. (2023) Worldwide Temporal Trends in Penile Length: A Systematic Review and Meta-Analysis. World J Mens Health. 2023 Oct;41(4):848-860.
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27 Habous M, Muir G, Tealab A, Williamson B, Elkhouly M, Elhadek W, Mahmoud S, Laban O, Binsaleh S, Abdelwahab O, Mulhall JP, Veale D. (2015) Analysis of the Interobserver Variability in Penile Length Assessment. J Sex Med. 2015 Oct;12(10):2031-5.
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28. Promodu K, Shanmughadas KV, Bhat S, Nair KR. (2007) Penile length and circumference: an Indian study. Int J Impot Res. 2007 Nov-Dec;19(6):558-63.
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29. Mostafaei H, Mori K, Katayama S, Quhal F, Pradere B, Yanagisawa T, Laukhtina E, König F, Motlagh RS, Rajwa P, Salehi-Pourmehr H, Hajebrahimi S, Shariat SF. (2025) A Systematic Review and Meta-Analysis of Penis Length and Circumference According to WHO Regions: Who has the Biggest One? Urol Res Pract. 2025 Mar 7;50(5):291-301.
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30 Wang C, WangDing Y. (2025 ) A meta-analysis of Chinese men’s penile size in a global context. Andrology. 2025 May;13(4):681-693.
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31 Lever, J., Frederick, D. A., & Peplau, L. A. (2006) Does Size Matter? Men’s and Women’s Views on Penis Size Across the Lifespan. Psychology of Men & Masculinity, 7(3), 129-143
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32 Dixson, A. F. (2009). Sexual Selection and the Origins of Human Mating Systems. Oxford University Press.
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Do you have any questions or would you like to request an appointment? Simply use our online form. Mr. Felix Jung will get back to you promptly - reliably, discreetly and personally.

Question

In regelmäßigen Abständen lassen wir zur internen Qualitätssicherung unserer Patienten (anonym !) nach deren Zufriedenheit mit der Penisvergrößerungsoperation befragen. Früher durch externe Dienstleister, mittlerweile führen wir diese Befragungen selbst durch, so können viel besser etwaige Probleme angegangen werden.

Die letzte Befragung (Auswertung 11/ 2024) die wir anhand von selbst entworfenen Fragebögen – die für uns viel sinnvoller im Erkenntnisgewinn sind als Fragebögen, die Fremd-Firmen formulieren, die nur oberflächlich von Penisvergrößerung Bescheid wissen -, durchgeführt ca drei Monaten nach der erfolgten Operation, hat folgendes in Bezug auf die 4 Hauptfaktoren ergeben:

Zufriedenheit mit der Betreuung vor Ort vor der Operation: 4,9

Sachkompetenz der Ärzte und des Personals: 5

Zufriedenheit mit dem Ergebnis: 4,8

Zufriedenheit mit der Betreuung nach der Operation: 5

(Wahlmöglichkeit Qualitätsstufen 1-5; 50 Patienten haben randomisiert teilgenommen und ihre Fragebögen anonym eingesendet)

 

Ergebnis: 4,93 von 5,0

UGRS

Beratung & Terminvereinbarung:
Montag – Freitag
09.30 – 19.00 Uhr

Fairness First UGRS Medical Services Ltd
Siegel Patienten nach ihrer Penisvergrößerung-Operation befragt

We regularly ask our patients (anonymously!) about their satisfaction with penis enlargement surgery for internal quality assurance purposes. Previously carried out by external service providers, we now carry out these surveys ourselves so that any problems can be addressed much more effectively.

The last survey (evaluation 11/ 2024), which we conducted using self-designed questionnaires – which are much more useful for us in terms of gaining knowledge than questionnaires formulated by external companies that only have a superficial knowledge of penis enlargement -, carried out about three months after the operation, revealed the following with regard to the 4 main factors:

Satisfaction with on-site support before the operation: 4.9

Professional competence of doctors and staff: 5

Satisfaction with the result: 4.8

Satisfaction with care after the operation: 5

(choice of quality levels 1-5; 50 patients participated randomly and sent in their questionnaires anonymously)

Result: 4.93 out of 5.0

UGRS

Advice & appointments:
Monday – Friday
09.30 – 19.00 hrs

Fairness First UGRS Medical Services Ltd
Siegel Patienten nach ihrer Penisvergrößerung-Operation befragt