Who Is Not Suitable for Penis Enlargement Surgery?

Overview

Penis enlargement surgery can be a highly effective option for selected patients, but it is not suitable for everyone.
A careful medical, anatomical, and psychological assessment is essential to ensure safety, realistic expectations, and a good long-term outcome.

At Moorgate Andrology, all patients are assessed by a specialist consultant urologist before surgery is recommended.

Learn more about who is suitable for penis enlargement surgery 

Patients Who May Not Be Suitable

1. Men With Unrealistic Expectations

Surgery can improve:

• Flaccid length

• Flaccid hang

• Apparent length in certain situations

However, it cannot:

• Create dramatic or extreme size increases

• Guarantee permanent erect length gains in all men

• Change natural anatomy beyond safe limits

Patients expecting transformational or “pornographic” results are usually not suitable, as satisfaction depends heavily on realistic goals.

2. Men With Active Psychological or Body Image Disorders

Men with:

• Body dysmorphic disorder (BDD)

• Severe anxiety or obsessive focus on genital size

• External pressure from partners or social media

may not benefit from surgery and can experience dissatisfaction even after technically successful procedures.

In these cases, surgery is not advised until psychological factors are addressed.

3. Men With Poor Erectile Function Not Yet Treated

If a patient has:

• Significant erectile dysfunction

• Untreated vascular or hormonal issues

these should be fully assessed and managed first.

While enlargement surgery does not target erectile tissue, unresolved erectile problems can affect satisfaction and recovery.

Read more about does penis enlargement surgery affect erections ?

4. Men With Significant Penile Scarring or Previous Complications

Patients who have had:

• Complicated previous penile surgery

• Severe scarring from trauma, injections, or infections

• Poor healing from earlier procedures

may not be suitable without further specialist evaluation, as scar tissue can limit safe surgical options.

5. Men With Poor Wound Healing or Medical Contraindications

Surgery may not be appropriate in men with:

• Poorly controlled diabetes

• Significant vascular disease

• Bleeding disorders

• Active infections

• Heavy smoking with impaired healing

These factors increase the risk of:

• Infection

• Poor cosmetic outcome

• Delayed recovery

6. Men Seeking Enlargement for Relationship or External Reasons

Surgery is not recommended if:

• The motivation is driven primarily by a partner

• The goal is to “fix” relationship issues

• The decision is rushed or externally pressured

The best outcomes occur when patients choose surgery for themselves, with informed consent and personal confidence.

What Happens If You’re Not Suitable?

Being told you are not suitable for surgery does not mean no options exist.

Depending on the situation, alternatives may include:

• Non-surgical treatments

• Medical optimisation

• Psychological support

• Watchful waiting

• A second-stage review at a later date

Your safety and long-term wellbeing always come first.

Specialist Assessment Is Essential

Penis enlargement surgery should never be offered without:

• A full urological consultation

• Discussion of risks, benefits, and alternatives

• Clear explanation of expected outcomes

At Moorgate Andrology, suitability is assessed on a case-by-case basis by an experienced consultant urologist.

Next Steps

If you are considering penis enlargement surgery and would like to understand whether you are a suitable candidate, we offer confidential consultations, including video appointments, to discuss your individual circumstances in detail.