Penis enlargement with UGRS

Two terms that have been linked nationally and internationally for many years. Until well into the 2000s, doctors at today’s UGRS (from 2008) were almost the only ones who dared – through consistent quality and evidence-based work – to bring this operation out of the shady corner and into the mainstream. Not only did university hospitals refer their patients to us, but in 2014 the British Guardian described Germany as the “world champion in penis enlargement”. We hope that we have also promoted emancipation, as this organ affects both sides.

Currently over 600 penis enlargement operations per year speak for themselves.

Read our patient information below

If you are interested in a clear presentation in FAQ style, please click here for the summary.

(we have been active in rating portals for the first time since the end of 2025)

If you would like a more detailed description, please read on:

Who will treat me in Darmstadt?

Your doctors in the male intimate surgery section:

(In the middle: Prof. Littara; details about our doctors can be found here)

What is penis enlargement?

Penis enlargement (penis augmentation) is a surgical procedure to enlarge the penis and usually consists of penis lengthening surgery and penis thickening surgery.

The aim is to increase the length and circumference and at the same time achieve a harmonious, natural appearance without impairing function.

Penis enlargement at a glance

Before we delve deeper, we would like to give you some initial orientation:

Operation duration

approx. 70 minutes

Extension

Control margin approx. 3.8 – 8.1 cm

Increase in scope

aesthetic average approx. 3.2 cm

Anesthesia

Twilight sleep + local anesthesia

Hospitalization

outpatient

Follow-up check

If required

Pulling stitches

Self-dissolving threads

No sport

5 weeks

Sexual abstinence

5 weeks

Downtime

No downtime, please take 3 days off for physically hard work

The penis size

Most men who are considering penis enlargement surgery are not doing so out of curiosity – but because they are carrying around a topic that they rarely talk about.

When we give advice, we often hear things like: “I don’t really know if it’s too small – but I’ve been criticized several times.”

This feeling does not develop overnight. It develops over years – through comparisons, experiences or simply through a lasting discomfort with your own body.

This is precisely why it is important for us to look at this topic from more than just a technical perspective.

Medical classification of penis size

Many patients come with the expectation of receiving a clear boundary between “normal” and “not normal”. In reality, this boundary is blurred, because the “counterpart”, i.e. the partner, is just as important.

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(52, 53). As the DIN standard requires condoms to fit snugly in order for their protective function to be effective, the average European penis cannot be significantly shorter than 16 cm. Because otherwise all standard condoms would be too big and could not 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(54). This is roughly in line with the specifications of the standard-compliant condom in 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 we often observe in practice:

Our own perception often differs significantly from the objective classification.

There are reasons for this. These include:

Therefore, the medical classification is not a “judgment”, but a common orientation. It is intended to help you understand where you actually stand – and whether a change may make sense.

Anatomy of the penis - why enlargement is even possible

Surgical penis enlargement is not based on artificial changes, but on existing anatomy.

Part of the penis is naturally located inside the body. This part is not visible from the outside, but contributes to the overall length. This inner part can be partially shifted to the outside through targeted modification of the retaining ligament structures.

This means:
We do not lengthen “from the outside”, but make existing length visible.

The situation is different for the circumference. The skin, subcutaneous tissue and connective tissue play a decisive role here. The diameter of the penis can be influenced by inserting the body’s own tissue (autologous fat).

In many cases, we combine both approaches. Not to change as much as possible, but to achieve a result that is coherent in itself.

Which doctors perform penis enlargement

Penis enlargement surgery is one of the more demanding procedures in male intimate surgery. It requires not only surgical skill, but also experience in dealing with sensitive issues.

The professional specialization of the treating doctor is particularly important. This is because surgical penis enlargement is not a standard part of regular specialist training – neither in urology nor in plastic and aesthetic surgery. The necessary techniques and anatomical features are usually only learned through additional training, specialization and practical experience.

A suitable practitioner should therefore have demonstrable experience in:

It also makes sense to ensure that such procedures are carried out regularly. Experience, specialization and a serious consultation are important prerequisites for a safe procedure and realistic treatment results.

Methods of surgical penis enlargement

Surgical penis enlargement

Surgical penis lengthening is based on the targeted adjustment of retaining ligament structures in the pelvic area using an internal flap plasty, i.e. a special procedure with the body's own material in situ. This allows part of the penis lying inside the body to be moved to the outside.

The result can be seen in both the flaccid and erect state.

An important point:
The achievable lengthening cannot be planned at will. It depends, among other things, on the anatomy, tissue elasticity and the initial situation.

Penis enlargement in detail

Surgical penis thickening

We only use the body's own fat for penis thickening. This fat is removed from another part of the body (usually the inner thigh or lower abdomen), processed and then inserted under the skin of the penis.

The aim is a natural enlargement of the circumference - both visually and by touch.

At the same time, it is important to know:
A small amount of the inserted tissue is usually broken down by the body, which is why more is inserted from the outset than would be necessary for the planned result. The permanent result therefore develops over time and is not final immediately after the operation.

Penis thickening in detail

Combination of both methods

In practice, a combination of lengthening and thickening is often chosen. The reason is not only the greater change, but above all the better proportion.

An isolated lengthening can appear visually slimmer, a pure thickening without length adjustment may appear unbalanced. The combination makes it possible to control the overall appearance in a more targeted manner.

Other methods

In addition to the methods we use, there are others that are not used at UGRS. We have compiled an overview of these methods and why we do not use them here.

Results of surgical penis enlargement

The question of the result is understandably central. At the same time, it is also the most difficult because it cannot be answered in general terms.

These values provide orientation.

In clinical practice, changes of about

can be achieved.

However, these values are not a guarantee – they do not exist in medicine. However, the surgeon’s experience and personal skills significantly increase the certainty of results. The actual possible change always depends on several factors.

Relevant factors:

What we see again and again in practice:
Satisfaction does not depend on size alone.

After the procedure, many patients report a changed body image, more confidence and a different approach to intimacy. Others note that although the change is visible, not all inner doubts disappear automatically and that this takes time.

That’s why honest advice always includes this point:
Surgery can change the external appearance – but not every internal insecurity.

Why UGRS? - Your advantages at a glance

Many patients choose our doctors because they are looking for one thing above all else in addition to medical quality: security in a sensitive area.

Limits of penis enlargement

As important as the possibilities are, it is also important to clearly define the limits.

No operation can change the size of the penis indefinitely. Skin, tissue and the internal anatomy set natural limits that cannot be exceeded.

Our aim is therefore not to maximize the theoretical change, but to achieve a balanced result that

When we advise against penis enlargement

Not every situation should be operated on. In some cases, we deliberately advise against surgery – for example, if:

Would you like to know whether an operation is possible? Let’s talk about it.

Risks and possible complications

Like any surgical procedure, penis enlargement is also associated with risks. These initially include typical, temporary reactions such as swelling, tightness or minor bruising.

Rare complications can also occur, such as infections, wound healing disorders or uneven results.

It is not just the operation itself that is decisive, but the entire treatment concept. Experience, careful planning and precise execution make a significant contribution to reducing risks.

Treatment procedure

The path to penis enlargement always begins with a personal consultation: whether discreetly on the phone, by e-mail or in person at our clinic.

The operation itself usually takes around 70 minutes and is usually performed on an outpatient basis. The healing phase then begins, during which certain rules of conduct should be observed.

An important part of this is follow-up care where necessary. It can be decisive for the long-term development of the result.

Healing process after penis enlargement

The healing process takes place in several phases and varies from patient to patient. Swelling, tightness and minor bruising may occur in the first few days after the operation. In most cases, these reactions are normal and part of the healing process.

The following picture often emerges in the further course:

First 2 days: rest, swelling and feeling of tension are the main focus
First few weeks: wound healing progresses, everyday activities become possible again
after about 3 to 4 weeks: often start using a stretching device where necessary
after about 5 weeks: sexual intercourse possible again

Patience is particularly important in this phase. The final result does not appear immediately, but develops over a longer period of time.

Costs of our penis enlargement

Patients sometimes ask why the operation costs around EUR 12,300 with us while it costs “only” EUR 9,000 elsewhere.

This comparison is based on the false and erroneous assumption that every doctor, regardless of who he is, regardless of whether he has learned this operation, regardless of how often he performs it, regardless of whether the information in his advertising is correct or not, and regardless of the technique he uses, offers the same service.

That’s why we want to ask the counter question, WHAT is really expensive?

– EUR 9,000 for an extension only in the slack state or

– EUR 12.300,- for an extension in flaccid AND erect state

The sad thing is that the high price of €9,000 for a flaccid-only augmentation can only be charged by doctors BECAUSE patients assume that penis enlargement equals penis enlargement.
That’s why we mention quality and the importance of specialization and experience so often. Because these doctors are ruining the reputation of surgery that we have built for 30 years with their poor and expensive sold results.

Penis enlargement prices

1.
Approx. EUR 12,300 for the combination of extension and thickening (recommended)
Approx. EUR 9,500 for extension only
Approx. EUR 7,500 for thickening only
Other payment options are available on request. Please do not hesitate to contact us.
2.
In case of explicit request for enlargement only in slack condition: approx. EUR 5,000.00
3.
CORRECTION OPERATION (i.e. if we have to correct operations that have gone wrong elsewhere):
from approx. EUR 13,500.00
from approx. EUR 14,500.00 if products not approved for use on the penis (silicone plates, silicone ball, etc.) were used.

This information helps with the initial classification. However, individual planning is always crucial. Not every method makes sense in every situation – and not every combination automatically leads to a better result.

It is important to us that patients receive a clear and comprehensible cost structure from the outset. Serious planning takes into account not only the operation itself, but also the entire treatment process.

Planning usually includes

Especially with a sensitive procedure such as penis enlargement, the treatment does not end with the operation.

Other payment options

If you do not wish to pay for your treatment all at once, there are other payment options available. Please contact us.

Discreet advice - your next step

The decision to undergo penis enlargement surgery is not a purely medical decision. It is always a personal one.

Our aim is not to convince you to undergo surgery.
Our aim is to give you an honest basis on which you can make your own decision.

When dealing with this topic, the first step is often the most difficult.

In a personal consultation, we clarify together how your individual initial situation should be classified, what options are available and whether treatment could be useful for you.

Discreet, confidential and without obligation.

Your request to us

Your contact: Felix Jung
Intimate Surgery Office

Mon – Fri from 9.30 am – 7 pm

Alternatively, you can conveniently book an appointment online for a telephone consultation with one of our doctors.

or fill out our contact form:

The article has been checked, verified and approved by the Co-author Jörg Hagen. Author: Prof. Alessandro Littara.

About the author

Alessandro Littara is an international luminary in the field of urological reconstructions. He specializes in surgical penis enlargement.

Thanks to his pioneering work in the field of phalloplasty, which began in 1990, he is considered one of the forefathers in the field of male genital plastic surgery. He teaches his modified technique for surgical penis enlargement at the International Academy of Penoplasty.

His quest for the most effective solution with maximum safety led him to develop a method that does not require any foreign materials.

The current guidelines of the European Association of Urology (EAU) from March 2026 confirm his tireless fight against the use of silicone implants or similar foreign materials in surgical penis enlargement, most of which are not approved in Europe anyway, in a table(https://uroweb.org/guidelines/sexual-and-reproductive-health on page 100) that warns against the use of foreign materials.

Activities

His medical positions are in addition to his work at the UGRS Center Darmstadt:

Former head physician of the Department of Medical and Surgical Andrology and Sexology at the Mercurio-Quisisana Private Clinic in Montecatini Terme, where he performed his first thousand penis enlargement operations.
Training manager at the International Academy for Penoplasty https://www.penoplastycourse.com/
Medical Director of the Milan Center for Sexual Medicine
Head surgeon of the surgical penis enlargement section at the UGRS Center Darmstadt

Internationally recognized expert on penis enlargement

He is interviewed by numerous daily newspapers, lifestyle magazines, radio stations and TV stations both in Europe and especially in the USA as an expert on the subject of surgical penis enlargement.

He is considered an international expert in surgical penis enlargement by the following media, among others:

USA Today, New York Post, Daily Mail, Le Parisien, Yahoo Sports, Marca, SVT, Aftonbladet, Expressen, de Telegraaf, RMC Sport/BFM TV, Nettavisen, Yle, Sapo/Portugal, la Repubblica, Corriere della Sera, La Stampa, Panorama and RAI News.

In cooperation with the Italian Ministry of Health, he has promoted digitalization in the field of urology and was one of the pioneers in providing information on medical topics via digital media.

Special recognition of his medical work

In the current guidelines of the European Association of Urology (EAU) https://uroweb.org/guidelines/sexual-and-reproductive-health, he is the only doctor named on the subject of surgical penis enlargement.

Until recently, he performed high-end operations by special invitation at the Harley Health Village in the famous Harley Street (internationally renowned for excellent plastic surgery) in London. During his time working here he performed over a thousand penis enlargements on British patients alone.

He is an accredited expert on Wikitia, the science-based offshoot of Wikipedia.

Special scientific merits

He has close scientific ties to the University Hospital in Pisa and is the author of the world’s largest scientific study to date on the subject of surgical penis enlargement, which is listed in the National Library of Medicine USA (PubMed).

His memberships in addition to the UGRS membership

Italian Society of Andrology (S.I.A.)
Italian Society of Sexology and Sex Education (S.I.S.E.S)
Italian Society of Male Genital Surgery (S.I.C.G.E.M.)
European Society of Sexual Medicine (E.S.S.M.)
International Society for Sexual and Impotence Research (I.S.S.I.R.)
Member of the American Academy of Cosmetic Surgery (A.A.C.S.)
Trainer of the European Association of Genital Plastic and Cosmetic Surgery and Rejuvenation

About the medical co-author Jörg Hagen

Special merits:

The doctor Jörg Hagen has been working on the subject of surgical penis enlargement for over 30 years and has made a decisive contribution to the establishment of this operation in Germany.

With reference to the UGRS (then known as the GC of Urology), the British newspaper GUARDIAN described Germany as the world champion in penis enlargement in 2014.

He is the current organizational head of UGRS Darmstadt.

Interview with co-author Jörg Hagen (often called “Dr.Penis”) in the podcast on RTL+: https://plus.rtl.de/lets-talk-about-sex-2-0-p_30595/audio/jorg-hagen-es-gibt-keinen-perfekten-penis-c_1411114

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