Penis Enlargement Surgery: Cost, Overall Risks, Effectiveness

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Penis Enlargement Surgery: How Much Does It Cost, and Are There Risks?

Medically reviewed by Debra Sullivan, Ph.D., MSN, R.N., CNE, COI — Written by Tim Jewell — Updated on January 15, 2026

Penuma implant
Penile suspensory ligament surgery
Fat grafting
Insurance coverage
Side effects and risks
Takeaway

Depending on the specific procedure, penis enlargement surgery can cost anywhere from less than $10,000 to upwards of $20,000. Most penis enlargement procedures are performed for cosmetic reasons, meaning they’re typically not covered by insurance and will be expensive.

Penis enlargement surgery isn’t without risks. Some people may experience side effects such as erectile dysfunction, pain, and loss of feeling in the penis.

This article lays out a few types of penis enlargement surgery and their estimated costs, as well as how they work and risks you may want to consider.

Penuma implant surgery cost and procedure

The Penuma implant is a piece of silicone that a surgeon inserts under the skin of the penis to add girth. The cost of the procedure can vary based on your location, choice of surgeon, and other factors, but it typically costs more than $15,000.

The Penuma implant (elastomer or silicone block) is the only cosmetic penis enlargement device cleared by the Food and Drug Administration (FDA), but it’s not approved for the management of erectile dysfunction or any other medical conditions.

To undergo this type of procedure, you’ll need to be circumcised. If you’re not, this can add to your total costs.

How does the procedure work?

The Penuma is a crescent-shaped piece of medical-grade silicone inserted under your penis skin. Though it primarily adds girth, it can also increase the length of a flaccid penis.

The tissues that give your penis its shape are composed largely of two types:

Corpus cavernosa: This is composed of two cylindrical pieces of tissue that run parallel to each other along the top of your penis.
Corpus spongiosum: This is one cylindrical piece of tissue that runs along the bottom of your penis and surrounds your urethra, where urine comes out

Your Penuma device will be designed to fit your specific penis shape. It’s inserted into your shaft over the corpus cavernosa, like a sheath.

This is done through an incision in your groin area just above the base of your penis. The device stretches the penis skin and tissues to make your penis look and feel larger.

»Discover:Medicare coverage of penile implants

Penile suspensory ligament surgery cost and procedure

This type of surgery can cost anywhere from less than $10,000 to more than $20,000. Like any other type of procedure, the price can be affected by your location, choice of doctor, and other factors.

How does the procedure work?

Also called ligamentolysis, this procedure involves cutting the suspensory ligament. This ligament connects the pubic bone and penis, and cutting it can make a flaccid penis hang lower, making it look longer.

»Explore:Average penis size and ways to build confidence

Fat grafting surgery cost and procedure

Fat grafting generally costs less than $10,000, but your price may vary.

How does the procedure work?

This procedure involves taking fat from a different part of your body, such as your abdomen, and transferring it to your penis. This can make your penis appear larger.

Fat grafting results may diminish after a period of time, meaning additional fat injections may be necessary to retain the desired appearance. This can increase your overall costs.

Insurance coverage

Insurance plans typically won’t cover cosmetic procedures, so most people will pay for penis enlargement surgery out of pocket.

In some cases, insurance will cover a penis enlargement procedure for medical conditions like micropenis or a buried penis if the procedure is deemed medically necessary. This means that a doctor will recommend surgery to help restore penile function.

It’s always best to check directly with your insurance company to determine whether they will cover any type of penis enlargement surgery for any reason.

Are there any side effects or risks?

Possible side effects of penile enlargement surgery include:

erectile dysfunction
pain with erection
loss of feeling in the penis
perforation and infection of an implant
suture detachment (stitches coming apart)
blood clots in penile tissue

There’s also a risk that your penis will not look or feel like you want it to after surgery. Be sure to discuss realistic expectations for these procedures with your surgeon before you undergo surgery.

Additionally, as with any procedure, the use of anesthesia may come with some risks. Depending on the procedure you choose, penis enlargement surgery may be done under local or general anesthesia.

Possible side effects of anesthesia include:

nausea
vomiting
exhaustion
hoarse voice
confusion

Anesthesia may also increase your risk of:

pneumonia
heart attack
stroke

Keep this in mind

The Urology Care Foundation states that penile augmentation is a legitimate procedure for micropenis only. For most people, the risks of cosmetic penile enlargement surgery may outweigh the benefits.

Penile enlargement surgery should be considered very carefully, and you should always talk with your doctor about what you can realistically expect from it.

Don’t have a doctor yet? Try Healthline’s FindCare tool to connect with a urologist in your area.

Takeaway

Penis enlargement surgery generally isn’t covered by insurance, and it can be expensive. Depending on the procedure, you may pay anywhere from less than $10,000 to more than $20,000.

If you’re concerned about the length and girth of your penis, talk with your doctor. They may be able to recommend nonsurgical options that can help you achieve your desired result with fewer risks.

How we reviewed this article:

SourcesHistoryHealthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical journals and associations. We only use quality, credible sources to ensure content accuracy and integrity. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

510(k) premarket notification. (2026). https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm?id=K042380
Bettocchi C, et al. (2022). Male esthetic genital surgery: Recommendations and gaps to be filled. https://pmc.ncbi.nlm.nih.gov/articles/PMC9117127/
Salkowski M, et al. (2024). Outcomes and patient satisfaction after Penuma silicone implant surgery via two surgical approaches. https://pmc.ncbi.nlm.nih.gov/articles/PMC11456194/
Smith G, et al. (2023). General anesthesia for surgeons. https://www.ncbi.nlm.nih.gov/books/NBK493199/
The Foundation's Recommendation on Penile Augmentation. (2024).https://www.urologyhealth.org/urology-a-z/p/penile-augmentation

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Medically reviewed by Debra Sullivan, Ph.D., MSN, R.N., CNE, COI — Written by Tim Jewell — Updated on January 15, 2026

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Penuma implant surgery cost and procedure

How does the procedure work?

Penile suspensory ligament surgery cost and procedure

How does the procedure work?

Fat grafting surgery cost and procedure

How does the procedure work?

Insurance coverage

Are there any side effects or risks?

Keep this in mind

Takeaway

How we reviewed this article:

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