Penis lengthening surgery, aimed at increasing penile length, can be performed using various techniques. One common method is the ligamentolysis procedure, where the suspensory ligament that anchors the penis to the pubic bone is severed. This ligament supports the penis and contributes to its upward angle. By cutting this ligament, the inner part of the penis, which is typically hidden within the body, is released and extended outward, thereby increasing the visible length of the penis. The patient is placed under anesthesia, and an incision is made at the base of the penis or in the pubic area to access the ligament. Once the ligament is cut, the surgeon may insert a temporary stretch device or weights to ensure the penis maintains its new length while healing.

Another surgical approach involves tissue grafting or implants to enhance penile length and girth. In this technique, tissue taken from another part of the body, or a synthetic implant, is used to add bulk and length to the penis. This procedure is often more complex and can involve more extensive postoperative care. Post-surgery, patients typically need to adhere to a strict regimen, which may include using a penile extender device for several months to prevent the ligament from reattaching too high and to maximize lengthening results. Patients are also advised to avoid strenuous physical activities and sexual intercourse for a recommended period to ensure proper healing and optimal surgical outcomes.