Mindseye, thanks for your views. You made a good point. I feel the need to clarify my original post if I may:
It's my understanding from reading on the subject of surgery for enlargement that MD's don't dismiss a man as a candidate because he's "large enough already" but instead the larger size penis doesn't seem to respond as favorably. When the suspensory ligaments are "adjusted" there often is a pronounced downward "drooping effect" thereafter which must be lived with. (Techniques reportedly ARE improving on THAT part of the procedure though.) Whatsmore, longer-length shafts (to begin with) will tend to bend, curve, and arch more frequently from surgery which is why extender devices are mandated for weeks following the operation. Shafts already at the six or seven inch (erect) length mark would be more difficult to maintain in a straight-out healing mode from lengthening surgery --comparatively speaking to a man at 4" erect length. ...Thinking about it does make some sense, I believe.
The girth enhancement part of surgery is done as "stage two" after ligament adjustment.... (whereby injections are put into the penis shaft to "plump it up" ) This technique still has NOT been perfected. Over time, these injected substances (i.e. extracted fatty globules from another part of the body) are often absorbed back into the body, thus losing the intended effect to become permanent within the penis. Silicone injections are being tried (in surgery enlargement now, not the recreational use as such) and silicone is being found to NOT stay permanently, either. Injections of any kind have reportedly left some men with "lumpy" "bumpy" and grotesque-looking penises from all these trials and errors in girth enhancement. A totally "natural-looking" result from enlargement surgery is rare if one gets right down to it.....particulary so for the already above-average man. I've seen the "after" photos in several PE surgery websites. If one looks carefully, some of the results are not what I would call all that "pretty" (?)
I've said it before and we all know it's true--the penis is one tough, stubborn part of the human body to respond to ANY enlargement technique....any of 'em!
Beginning surgery with an especially small-size penis is thereby better in some ways...it's better able (physiologically speaking) to accomodate the surgical methods. I don't mean this in the wrong way, but I would think the more typical surgical candidate (a man who is somewhat below average in size to begin with) is so grateful to get ANY improvement whatsoever, that in some ways, he might be just a bit less likely to be as bitterly disappointed and disillusioned with his results
than when compared to a man who started rather large before surgery only to wind up worse off afterwards!
Most surgery candidates (from what I understand) usually must undergo a pretty thorough psych exam first---to determine how they're thinking behind their desire to be larger. That evaluation is a major determing point for deciding IF a man will indeed be heading for the O.R..
I did not mean to imply in my first post whatsoever that reputable MD's skilled in PE surgery take men's feelings and desires lightly in their work. Of course, one man's desire to "hang big" is equally as important at those desires of another. The few good surgeons helping men with PE surgery I think DO take their work VERY seriously and are quite responsive to the men who desire the surgery. The selected patients certainly know upon going into a PE operation there are risks and no guarantees of total perfection.
Personally, I would be concerned with finding a surgeon who really KNOWS what he's doing and what success stories exist FROM HIS PATIENTS THEMSEVES before I would even think of such a venture.
And even then....I would RE-THINK it!