There are two primary "enhancement" procedures. For length, the suspensory ligaments are cut, letting the part of the penis that is inside the body "hang out". This results in usually, at MAXIMUM 1" additional length, and the penis will always have the downward curve. This is best case scenario, and in many cases results in impotence, or sometimes LESS length than before the procedure. For girth, some of the persons own fat is removed and injected. Rarely anymore, is silicon injected, due to the negative effects of silicon in the body. The fat eventually is reabsorbed by the body, and while it is in effect, often has a lumpy disproportionate distribution. Again, these are best case scenarios for costs of around $100,000. This is elective surgery and is never covered by any insurance (unless some guys very rich and has VERY good insurance.

). Do the research yourself, and then make your own judgements.