After years of watching these surgeries in spite of the far better than average track record of Gary Alter my thoughts do not constitute an endorsement of these procedures. I have seen some real train wrecks on these and the real problem is that some start good and take years to go into the waste basket.
The worst problem out there is that there are a number of guys making money from these procedures by selling stretching equipment and there are others who are making money from providing leads to the MD's doing the work. There are even a few doing "surgical brokering" which takes away their objectivity. If they derive a profit from any part of the industry they are not good authorities on this subject.
If you are going to do it, Gary Alter is the one to see, but, at the same time I would try damn near everything else first. I mean everything because while everything can go wrong it appears that the highest percentage of problems tend to be to those having had these procedures.
If you must do this the absolute disaster is the girth enhancement. The lengthening can be done well if it is left there. There are so many potential traps down the road with the girth enhancement that it is literally a surgical roulette wheel.
I have told this story numerous times, but I watched a situation where I guy who was not a great surgical candidate was taken and turned into penile hamburger by a surgeon in the Southeastern United States. He was quite wealthy financially and the butcher in question took a 5" erection and turned it into a 3" erection post operatively. After the procedures there were other complications. This guy was done so badly that it took multiple operations to restore his original size. This job was a case that it cost the guy $10,000 to go from 5" to 3" and another $50,000 in repairs because of course the original butcher denied all responsibility and as they always do blamed the patient that he had decided to operate on knowing the problems.
Personally: Try everything else first and I do mean everything. There are people making gains out there with stretching methods or what I call manual manipulation techniques. It does not work on everyone, but it does work on a percentage and the exact chances are different for each person and based on their individual structure.
Simple definition in this case: Resection.....+ chop and remove a part of the structure to allow the tissues to stretch or be stretched. . .