Surgery
Penis Lengthening Surgery
What ligamentolysis actually delivers, and why the American Urological Association does not endorse it.
The operation
Releasing the suspensory ligament.
The suspensory ligament anchors the base of the penis to the pubic bone. Dividing it allows more of the internal shaft to sit outside the body, increasing flaccid length.
- It does not increase erect length. The erectile bodies are unchanged.
- It can reduce the upward angle of the erection, since the structure that held it up has been divided.
- Scar contracture can pull the penis back over time, reducing the initial gain.
- It is not reversible.
Position statement
What the AUA says.
"The American Urological Association and the Urology Care Foundation consider the division of the suspensory ligament of the penis for increasing penile length in adults to be a procedure which has not been shown to be safe or efficacious."
That is the AUA's current published position on penile augmentation surgery, not a historical footnote. Long-term satisfaction with lengthening surgery has been reported at roughly a third of patients — among the lowest figures in elective surgery.
Androfill does not perform lengthening surgery in the United States. We publish this because men researching enlargement deserve to encounter that statement, and many clinics selling the operation do not mention it.
Alternatives
If length is your goal.
Traction devices
The only non-surgical route with published support for gains in both flaccid and erect length — at the cost of 1,000+ hours. See penis extenders.
Weight loss
A suprapubic fat pad conceals length. Reducing it reveals what is already there, with no surgical risk at all.
If girth rather than length would satisfy you, filler is immediate, reversible and carries far less risk than any lengthening operation.
Book your consultation.
Discreet, physician-led care at ten clinics across the United States.
About this page
Last reviewed on 30 July 2026.
Medically reviewed by Dr Gary Horn — founder of Androfill, consultant plastic and reconstructive surgeon and uro-andrologist, GMC 4267803.
General information only, not a substitute for a consultation. Individual results vary from person to person.