Penoplasty at Aylan Clinic Tunisia covers three distinct operations — lengthening by suspensory ligament release, girth enhancement, and pubic liposuction, which helps the largest number of men and is the least often discussed. Two facts come first, because most clinics offering this surgery do not put them in writing. Lengthening surgery increases flaccid length; it does not increase erect length, so a man who wants to be longer during sex will not get that from this operation. And the great majority of men who seek this surgery have entirely normal anatomy — a meaningful proportion of the men who consult us leave having decided not to proceed, which is an outcome we are entirely comfortable with.
This guide is organised around your journey: deciding, preparing, the stay, and what follows. It sits alongside our procedure page for Penile Enhancement in Tunisia, which sets out how each operation is performed, the stay and the aftercare. For figures across our full range, see plastic surgery prices in Tunisia, and the wider category is mapped on our intimate surgery in Tunisia overview. One thing distinguishes Tunisia: it is a French-speaking country. Not a clinic with French-speaking staff — a country where French is a working language across medicine and daily life. On this surgery that matters at the consultation about expectations, which is the appointment that determines whether you are satisfied.
Part one — deciding
1. What the procedures are
Three distinct operations, frequently bundled under one name.
Lengthening — suspensory ligament release. The suspensory ligament, which tethers the penis to the pubic bone, is divided. This allows more of the internal portion to hang externally, increasing visible flaccid length. Typically an hour, under general or spinal anaesthesia. What it achieves and what it does not is section 3, and it is the most important section on this page.
Girth enhancement. Increasing circumference, by one of several methods. Dermal fat grafting places a strip of the patient’s own tissue under the penile skin. Fat transfer injects liposuctioned fat around the shaft — partial reabsorption is expected, and uneven reabsorption is the main limitation. Injectable fillers use hyaluronic acid, which is temporary and requires repetition. Section 4 sets out what each realistically achieves.
Pubic liposuction and the buried penis correction. Section 5 — and for a substantial number of men this is the procedure that actually solves the problem. Frequently the most effective option, and the least often proposed.
2. What normal actually is
The second most important section, and it belongs before any discussion of technique.
The measurements. Large pooled studies measuring thousands of men have established the range clearly. Average erect length is in the region of 13 centimetres, with most men falling between roughly 10 and 16. Average flaccid length is around 9 centimetres, though flaccid length varies enormously in the same man — with temperature, with anxiety, and with the time of day. Average erect circumference is around 11 to 12 centimetres. What this means: the great majority of men who believe they are below average are not.
Where the distorted comparison comes from. Worth stating plainly. Pornographic material is not representative — performers are selected for atypical anatomy, and camera angle and framing exaggerate further. Locker-room comparison is misleading — you see other men flaccid and from above, and yourself from above, which is the angle that foreshortens most. And self-reported figures in surveys are consistently higher than measured figures, which tells you something about how the numbers circulating are generated.
How it is measured properly. Erect length is measured from the pubic bone to the tip, along the top, with the ruler pressed firmly into the fat pad. That last part matters enormously, because fat over the pubic bone conceals length, and measuring from the skin surface rather than the bone can understate by several centimetres. Which is precisely the point of section 5.
What we do. Measure properly, at your consultation, and tell you where you sit. For a meaningful proportion of men, that conversation is the end of the matter — and they go home reassured rather than operated on. We are entirely comfortable with that outcome. Ask directly: « Mes mesures sont-elles dans la normale ? »
3. What lengthening does and does not do
The central fact about this surgery, and we state it plainly.
What ligament release achieves. Increased flaccid length — the visible length when not erect. Published gains are modest, typically in the region of one to two centimetres, and results vary considerably between individuals. For some men, that flaccid change matters — in changing rooms, at a urinal, undressed with a partner. That is a legitimate thing to want.
What it does not achieve. It does not increase erect length. The erect penis is the same length before and after, because ligament release does not add tissue: it changes how much of the existing structure sits outside the body. A man who wants to be longer during sex will not get that from this operation.
Why we state it this directly. Because it is the single largest source of dissatisfaction after this surgery. A man told “this will make you longer” who expects that to apply during sex has been misled, and he will be dissatisfied with a technically successful operation. A man who understands that he is gaining flaccid length, and wants that, is generally satisfied. The difference is entirely in what he was told beforehand.
The trade-off nobody mentions. Dividing the suspensory ligament reduces the angle of the erection. The ligament is what holds the erect penis upward against the body. Divided, the erection sits at a lower angle — and a proportion of men find this noticeable, and some find it unwelcome. It can affect penetration in some positions. This is an expected consequence rather than a complication, and it should be discussed before you consent, not afterwards. Ask any clinic: « Quel effet la section du ligament aura-t-elle sur l’angle de mon érection ? » A clinic that has not raised this with you is not giving you informed consent.
Post-operative stretching. The gain is maintained by traction — a device or manual stretching, daily, for months after surgery. This is not optional. Scar contracture pulls the penis back toward its original position, and men who do not do the stretching lose much of the gain. Typically several hours daily, for three to six months. It is tedious, and it is what determines the result — and a man unwilling to commit to it should not have the operation.
4. Girth: what each method realistically achieves
Dermal fat grafting. A strip of the patient’s own dermis and fat, harvested from the groin or buttock, placed under the penile skin. More durable than injected fat, since the tissue retains its blood supply structure. Considerations: a donor site scar, the possibility of irregularity or firmness, and a more involved operation.
Fat transfer. Fat harvested by liposuction and injected around the shaft. No donor scar beyond the liposuction sites, and it can be repeated. The limitation: partial reabsorption is expected — frequently a substantial proportion over the first year — and it is not always even. Uneven reabsorption causing lumpiness or irregularity is the most common issue, and it is why a second session is frequently needed.
Hyaluronic acid filler. Injected, temporary and reversible, which is its advantage. It lasts a limited period and requires repetition, with ongoing cost. Where it has a role: as a trial, for a man who wants to see whether added girth is what he actually wants before committing to something durable.
What we will not do. Inject permanent industrial fillers, silicone or mineral oil. These cause severe complications — chronic inflammation, disfigurement, tissue death — frequently years later, and frequently requiring extensive reconstructive surgery. They are used in unregulated settings, and the results are among the worst outcomes in this field. If any provider offers you a permanent injectable that is not an established medical product, do not proceed.
Realistic expectations. Girth gains are modest and vary by method. Some irregularity is common and usually settles or is improved with a second session. And girth procedures do not affect length, nor erectile function.
5. The buried penis and the fat pad — read this before anything
The most useful section on this page for a substantial number of men.
The situation. Fat over the pubic bone conceals penile length. A thick suprapubic fat pad can conceal several centimetres — length that exists and is simply not visible. In more marked cases the penis is largely buried within the fat, which causes not only concealment but hygiene difficulty, recurrent inflammation, spraying on urination, and difficulty with intercourse.
What this means. A meaningful proportion of men seeking lengthening surgery do not have a short penis. They have a concealed one — and the treatment is not ligament release.
The treatment. Pubic liposuction, removing fat over the pubic bone. Or, where skin is redundant, a suprapubic lift — removing skin as well as fat and fixing the tissue back to the deep layer. The visible gain is frequently greater than lengthening surgery achieves, and the anatomy is unchanged: no ligament divided, no angle altered.
Weight loss first. Where body weight is a significant factor, weight loss produces the same effect without surgery, and it is worth attempting first. Our bariatric surgery guides cover the options where that is relevant, including gastric sleeve in Tunisia. And for a man who has lost substantial weight, a suprapubic lift addresses the residual apron of skin — a common situation after bariatric surgery and frequently not discussed.
Why it is under-proposed. Because a man asks about lengthening, and a clinic that sells lengthening sells lengthening. We measure with the ruler pressed to the pubic bone — section 2 — which is what reveals the difference between concealed and short. Ask: « Ma longueur est-elle masquée par le pannicule, ou est-elle réellement courte ? » It is the single most useful question on this page.
6. Where we would not operate
Stated plainly, because it matters.
Where measurements are normal and distress is severe. Some men present with severe distress about anatomy that is entirely normal — section 2. Penile dysmorphic disorder is recognised, and surgery in this situation frequently does not help. Published follow-up shows persistent dissatisfaction after technically successful operations, and in some cases the preoccupation intensifies. Where this appears to be the picture, we recommend psychological assessment before any decision. That is not a dismissal, and it is not a judgement. It is a recommendation that surgery is unlikely to be the tool that helps — and a man in this situation deserves treatment that works rather than an operation that does not. We would rather have that conversation than take the case.
Under eighteen. Without exception. Development continues through adolescence and into the late teens, and anatomy at sixteen is not final anatomy.
Where erectile dysfunction is the actual problem. A man with erectile difficulty who believes the issue is size needs the erectile difficulty addressed. It is common, it is treatable, and it is frequently a sign of underlying vascular or hormonal problems that matter for general health. See a physician. In Canada this is covered.
Where Peyronie’s disease is present. Curvature, pain and plaque formation — a distinct condition with its own treatment. Cosmetic lengthening is not the answer, and it needs proper assessment.
Untreated infection or skin condition. Treated first.
7. What about non-surgical options?
Traction devices. The only non-surgical approach with any published evidence for length. Studies show modest gains with prolonged daily use over months — and the commitment required is substantial, several hours daily for six months or more. Compliance is poor in most studies, which is why average results are unimpressive. Where a man is willing to commit, it is a reasonable thing to try before surgery, and it costs far less.
Pumps. Produce temporary engorgement. No evidence of lasting length increase, and overuse causes tissue damage.
Pills, creams and supplements. No evidence. None of them work. And a proportion contain undeclared pharmaceutical ingredients, which is a genuine safety issue, particularly for men taking nitrates or with cardiac conditions.
Jelqing and manual exercises. No evidence, and reports of injury — including tissue damage and the scarring that leads to curvature. Not recommended.
Weight loss. Section 5 — and for a man with a significant fat pad, this is the non-surgical option that genuinely works.
8. Why Canadian patients choose Tunisia
| Canada (private) | Tunisia — Aylan Clinic | |
|---|---|---|
| Cost | High | Up to 60% less |
| Insurance | Not covered | Same, far lower total |
| Availability | Limited — few surgeons offer it | Available |
| Language | English or French | French throughout the country |
| Surgeon training | Canadian | Frequently French-trained |
| Honest measurement and assessment | Variable | Standard — sections 2 and 5 |
| Companion | Not applicable | Free, accommodated and fed |
On availability. Relatively few surgeons in Canada offer cosmetic penile surgery, and it is not covered. Which means the realistic comparison is private cost against private cost — and availability is itself a factor.
Where the language matters on this surgery. At the expectations consultation, and it is the appointment that determines satisfaction. You are being told that lengthening affects flaccid length and not erect length. That the angle of your erection will change. That your measurements are probably normal. And that your concern may be concealment rather than size. That is a lot of nuanced, unwelcome information — and it is also a conversation in which you may want to say things that are difficult to say. About what actually prompted this. About a comment someone made. About what you expect it to change in your life. Patients consistently tell us they said more in their own language, and on this surgery, what you say at that consultation is what determines whether you are satisfied afterwards.
Surgeon training. A substantial proportion of Tunisian urological and plastic surgeons trained in France. Ask where yours qualified. We answer directly.
Part two — preparing
9. From first contact to confirmed dates
The online consultation. We do not require intimate photographs at the enquiry stage, and you should be cautious of any clinic that does.
What to send: what specifically concerns you — flaccid appearance, erect length, girth, or concealment — and in which situations it matters to you; how long it has concerned you; your measurements if you have taken them, and how you measured, particularly whether you pressed the ruler to the pubic bone (section 2); your height and weight; whether you have any erectile difficulty (section 6); any curvature or pain (section 6); any previous genital or abdominal surgery; your medical history and medications; whether you smoke; and your age. In French or in English.
What you receive. An honest initial assessment, including where your description suggests your measurements are normal, and where it suggests concealment rather than short length. Where surgery is appropriate: what we would propose, what it would realistically achieve, the stay, the recovery — including the traction commitment — and the cost. Within 24 to 48 hours.
Questions worth asking before you commit. « Mes mesures sont-elles normales ? » — section 2. « Ma longueur est-elle masquée plutôt que courte ? » — section 5, and it is the most useful question here. « L’allongement changera-t-il ma longueur en érection ? » — the answer is no, and a clinic that says otherwise is misleading you. « Quel effet sur l’angle de mon érection ? » — section 3. « Combien d’heures de traction par jour, et pendant combien de mois ? » « Que se passe-t-il si je change d’avis après la consultation ? » « Où votre chirurgien a-t-il été formé ? »
What to arrange at home before you travel. See a physician about any erectile difficulty — section 6, and it is covered in Canada. Consider weight loss where a fat pad is a factor — section 5. Consider a traction device trial if you are willing to commit — section 7. Stop smoking, which impairs healing. Arrange time off — two weeks minimum. And understand the traction commitment before you decide — section 3, because it is the part men most underestimate.
10. If you decide not to proceed
Stated explicitly. If, after the consultation and measurement, you decide not to have surgery — or if we recommend you do not — that is the end of it. No pressure and no renegotiation.
Ask any clinic what their deposit terms are if you change your mind after the consultation, and get the answer in writing before you travel. This matters more here than almost anywhere, because a meaningful proportion of men who consult us do not proceed, by their choice or on our recommendation. A clinic that would pressure a man in that position is not one to travel to.
Part three — the stay
11. Your stay in Tunisia
Seven to ten days, depending on the procedure.
Day 1 — arrival. Your driver meets you at the airport and takes you to your hotel with your companion. Nothing clinical today.
Day 2 — the consultation and measurement. The appointment that determines everything. A full examination in privacy. Proper measurement — flaccid, stretched flaccid, and with the ruler pressed to the pubic bone (section 2). Assessment of the fat pad — section 5, and whether your concern is concealment rather than length. Assessment of erectile function, and of any curvature. Then the expectations conversation: where your measurements sit within the normal range; what lengthening would achieve — flaccid length, not erect; the effect on erection angle; the traction commitment; and what, in our assessment, would actually address your concern, which for a number of men is pubic liposuction rather than lengthening. Where we believe surgery would not serve you, we say so — and section 10 applies. Blood tests and anaesthetic assessment follow.
Day 3 — surgery. Whichever procedure was agreed. Ligament release, around an hour. Girth procedure, variable by method. Pubic liposuction or suprapubic lift, one to two hours. Under general or spinal anaesthesia.
Days 4 to 7 — recovery and review. Swelling and bruising, frequently extensive — section 12. A dressing or support, and your medication. Review appointments. And, importantly, instruction in the traction regime, with the device fitted and its use demonstrated before you leave.
Days 8 to 10 — final review and departure. Final examination, and your documentation: an operative report describing exactly what was done; your traction protocol with hours and duration; written aftercare in French or English; and a letter for your Canadian physician. Then your transfer to the airport.
12. The first weeks honestly
Swelling and bruising. Substantial, and frequently more than men expect, with bruising extending into the scrotum and lower abdomen. It looks alarming and it is normal. It settles over two to four weeks.
Discomfort. Manageable with simple analgesia for most men. Discomfort with erections, particularly nocturnal ones, in the first two weeks — and they will occur whether you want them or not.
Practical measures. Supportive underwear, not loose. Ice, wrapped, in the first forty-eight hours. Loose outer clothing. And avoid prolonged standing in the first days, which increases swelling.
Restrictions. No intercourse or masturbation for four to six weeks, on your surgeon’s confirmation. No strenuous exercise for four to six weeks. No cycling for six to eight weeks. No swimming until healing is confirmed.
What is not normal. Increasing pain after day three. Fever. Spreading redness, or discharge. Significant bleeding. Difficulty passing urine. Contact us, in French or English.
13. The traction regime: the part that determines the result
Worth its own section, because men consistently underestimate it.
What it involves. A traction device, or manual stretching, for several hours daily — typically for three to six months, beginning once your surgeon permits.
Why. Scar tissue forms where the ligament was divided, and it contracts. Contraction pulls the penis back toward its original position, and without counter-traction much of the gain is lost.
The honest reality. It is tedious, it is time-consuming, and it goes on for months. Men who do it retain their gain. Men who do not, largely lose it — and then conclude the surgery did not work. The surgery worked. The maintenance did not happen.
Before you decide. Ask yourself whether you will genuinely do several hours daily for three to six months. If the answer is no, this operation is not for you — and that is a legitimate conclusion to reach, before rather than after. We would rather you reached it at the consultation.
Part four — what follows
14. Results, realistically
Lengthening. Flaccid gains are modest — typically one to two centimetres, with considerable individual variation, and dependent on the traction regime. No change in erect length. And a lower erection angle, which is expected.
Girth. Modest gains, with partial reabsorption expected after fat transfer and a second session frequently needed. Some irregularity is common early and usually improves.
Pubic liposuction. Frequently the greatest visible change, and without altering the anatomy. Durable where weight is maintained — and weight regain undoes it, which is worth knowing.
Satisfaction. Honestly: published satisfaction after cosmetic penile lengthening is lower than after most cosmetic procedures, and the literature consistently attributes that to expectation rather than to technical failure. Men who understood what the operation does are generally satisfied. Men who expected erect gain are not. Which is why sections 2 and 3 lead this page.
15. Sexual function
Erectile function. These procedures do not improve erectile function, and they are not intended to. Erectile function is generally unaffected, though temporary difficulty in the early weeks is common from swelling and discomfort. Where erectile difficulty predates the surgery, it will still be there afterwards — section 6.
Sensation. Temporary altered sensation is common and settles. Persistent altered sensation is uncommon and is one of the recognised considerations.
The angle. Section 3 — lower after ligament release, and a proportion of men find it affects certain positions. This is the consequence men most often say they were not told about, which is why we put it in the main text.
Instability. A small proportion of men report a sensation of the erection being less firmly anchored after ligament release. Uncommon, and worth knowing.
16. Your Canadian follow-up
What is required. Very little medically. A review with a physician if you have any concern. And your traction regime, which is the substantive follow-up — section 13.
Tell your physician that you have had the surgery, and give them your operative report. Relevant if you are examined for anything else.
If something concerns you, contact us, in French or English. And for anything urgent — fever, spreading redness, difficulty passing urine — see a physician promptly, with your operative report.
Canadian coverage. Cosmetic penile surgery is not covered. Where a buried penis causes genuine functional problems — recurrent infection, hygiene difficulty, urinary problems — that may be assessed differently, and it is worth asking your physician rather than assuming. Treatment of any complication is covered, as any medical care is.
Part five — practical matters
17. Canadian patients: travelling to Tunisia from your region
Aylan Clinic works with patients from every province and territory in Canada.
Montreal and the surrounding region. Montreal is our largest Canadian source for Tunisia. Connections from Trudeau to Tunis typically route through Paris, Frankfurt or Istanbul. Patients from Laval, Longueuil and Brossard are all within easy reach of the airport.
Quebec City and across the province. From Quebec City and the Capitale-Nationale region including Lévis, most patients connect through Montreal — as do patients from Trois-Rivières, Sherbrooke, Drummondville and Saint-Jérôme. Gatineau patients depart from Ottawa or drive to Montreal. From Saguenay, a domestic connection through Montreal is the norm.
On this surgery the francophone advantage is at the expectations consultation. You are being told a series of things you may not want to hear — that your measurements are likely normal, that lengthening does not affect erect length, that your erection angle will change, and that your concern may be concealment rather than size. And you may want to say things that are hard to say, about what prompted this, and about what you expect it to change. Patients consistently tell us they said more in their own language, and on this surgery that conversation is what determines whether you are satisfied.
Acadia and New Brunswick. We work with patients from Moncton, Fredericton and Saint John. Moncton and the surrounding Acadian communities are served in French throughout.
Francophone Ontario. Sudbury, Thunder Bay and Sault Ste. Marie all have substantial francophone populations, served in French from first contact onward. Ottawa patients typically connect through Montreal.
Greater Toronto Area and southern Ontario. Toronto patients connect through European hubs. Across the wider Greater Toronto Area: Mississauga, Brampton, Markham, Vaughan, Richmond Hill and Oshawa. Along the lake: Hamilton, Burlington, Oakville, St. Catharines and Niagara Falls. In southwestern Ontario: London, the Waterloo region — Kitchener, Waterloo and Cambridge — plus Guelph, Windsor and Barrie. Kingston patients generally drive to Toronto or Montreal.
Vancouver and British Columbia. Vancouver patients face the longest journey, typically two connections. For the return flight: book an aisle seat, wear supportive underwear, stand and walk regularly, and avoid a same-day domestic connection. We frequently recommend extending by a day or two. Across the Lower Mainland: Surrey, Burnaby and Richmond. From Victoria and Nanaimo, ferry or short flight. Kelowna, Abbotsford and Kamloops connect through Vancouver or Calgary.
Alberta. Calgary and Edmonton both offer European connections. Red Deer and Lethbridge patients generally drive to Calgary.
Manitoba and Saskatchewan. Winnipeg patients connect through Toronto or Montreal. Saint-Boniface is served in French. From Saskatoon and Regina, a domestic connection plus two further flights.
Atlantic Canada. Halifax routes through Montreal or Toronto. From Charlottetown and St. John’s, two or three connections.
Northern Canada. We work with patients from Whitehorse in Yukon, and from communities across the Northwest Territories and Nunavut. Privacy matters here, and in a small community a week away is noticed. We plan around that without comment: your documentation goes only where you direct, and your correspondence is titled as you prefer. We also plan the full stay plus buffer, given the journey and the discomfort of prolonged sitting in the first week.
How we handle the logistics. Your coordinator arranges transfers, confirms your hotel, and builds your schedule around your arrival time.
Five recommendations. Read sections 2 and 3 before deciding anything. Ask whether your length is concealed rather than short — section 5. Be honest with yourself about the traction commitment. Ask what happens if you change your mind after the consultation. And address any erectile difficulty with a physician first, because it is covered in Canada.
18. Privacy
Your consultation and examination are private. Photographs, where taken for clinical records, require your explicit consent, are stored securely, and are used for nothing else — and you can decline them entirely. Your correspondence is titled as you prefer, and your documentation goes only where you direct. Our staff will not discuss your treatment with anyone accompanying you unless you have said they may. Ask any clinic about photograph policy specifically.
19. What your package includes
- Free initial consultation in French or English
- A full in-person consultation, examination and proper measurement before anything is agreed
- Assessment of the fat pad, and an honest answer on whether your length is concealed rather than short — section 5
- An honest statement of where your measurements sit within the normal range
- An explicit expectations conversation — flaccid versus erect gain, erection angle, and the traction commitment
- Assessment of erectile function and curvature, with referral where those are the actual issue
- Blood tests and anaesthetic assessment
- The procedure agreed — ligament release, girth enhancement, pubic liposuction or suprapubic lift
- General or spinal anaesthesia
- Dressings, support and medication
- Review appointments during your stay
- A traction device, fitted, with the regime demonstrated before you leave
- Operative report describing exactly what was done
- Your traction protocol, with hours and duration
- Written aftercare in French or English
- A letter for your Canadian physician
- Continued contact in French or English after you return
- Strict privacy, with photograph policy explained and refusable
- Hotel accommodation, full board
- A companion at no extra cost, accommodated and fed in the same room
- Airport–clinic–hotel transfers
- A personal coordinator from arrival to departure
- French-speaking care throughout, with English available on request
The clinical team. A urological or plastic surgeon experienced in genital surgery, frequently French-trained; an anaesthetist; and a dedicated nurse.
20. Results by patient profile
Where the answer was liposuction. A patient of forty-four who had enquired about lengthening. Measured with the ruler pressed to the pubic bone, his length was comfortably within the normal range, and a thick suprapubic fat pad was concealing several centimetres. Pubic liposuction rather than ligament release. The visible change exceeded what lengthening would have achieved, and no ligament was divided and no erection angle altered. This is section 5 in practice, and it is common.
Where measurement ended it. A patient convinced he was substantially below average. Measured properly, he was close to the mean. He was shown the pooled study data and where he sat within it. He did not have surgery. He has since said the measurement was worth the trip, and that he had never had a straight answer before.
Where expectations were the whole issue. A patient who wanted lengthening, and who said at consultation that his goal was to be longer during sex. We explained that ligament release increases flaccid length only. He decided against surgery, having understood that it would not deliver what he wanted. That conversation cost us the case and prevented a dissatisfied patient.
Where we recommended assessment first. A patient with normal measurements and marked, long-standing distress, who described checking and measuring repeatedly. We recommended psychological assessment before any decision. He was not pleased at the time. He wrote to us a year later to say it had been the right advice.
Where the erectile problem was the real one. A patient who attributed difficulty with his partner to size, and who on questioning described clear erectile difficulty. We explained that the erectile difficulty was the issue, that it is common and treatable, and that it is covered in Canada — and that it can indicate vascular or hormonal problems worth investigating. He saw his physician. It was treated, and he did not need surgery.
Where surgery was right. A patient with genuinely short flaccid length, normal erectile function, realistic expectations, and who committed to the traction regime. Ligament release with a structured traction protocol for five months. He retained his gain, and he was satisfied — because he wanted what the operation provides.
A patient from Sherbrooke. A patient who chose Tunisia so the consultation could happen in French. His comment was about being able to say what had actually prompted it — a remark made years earlier that he had never repeated to anyone. « Je n’aurais pas su le dire autrement. Et c’est en le disant que j’ai compris que le problème n’était peut-être pas anatomique. »
21. Practical points to know
What to expect. Proper measurement and an honest assessment first — and a real possibility that surgery is not recommended. Substantial swelling and bruising for two to four weeks. Four to six weeks before sexual activity. And a traction regime of several hours daily for three to six months, which determines the result.
Recognised points. These are established procedures with recognised considerations, and your surgeon will discuss those relevant to you. The main ones: loss of the gain without traction, the most common cause of a poor result; reduced erection angle after ligament release, expected rather than a complication; scarring, which can contract; infection, uncommon; haematoma; altered sensation, usually temporary; irregularity or lumpiness after girth procedures, particularly fat transfer with uneven reabsorption; partial reabsorption after fat transfer, expected; a donor site scar after dermal grafting; a sensation of instability at the base, uncommon; dissatisfaction, which the literature attributes mainly to expectation — sections 3 and 14; and the general risks of surgery under anaesthesia. And separately: severe complications from permanent non-medical fillers, which we do not use and which you should refuse anywhere — section 4.
Three things within your control. Getting measured properly before deciding — section 2. Doing the traction — section 13. And being honest at the consultation about what you actually expect, because that determines whether you are satisfied.
Who this suits. Adults over eighteen with genuinely short flaccid length or concealment, normal erectile function, realistic expectations, and a genuine willingness to do the traction.
Who should not proceed. Anyone whose measurements are normal and whose distress is severe — section 6. Anyone whose real issue is erectile difficulty, which is treatable and covered in Canada. Anyone expecting erect gain — section 3. And anyone unwilling to commit to the traction regime.
22. Price: how it is built and how to compare it
What determines your price. Which procedure — ligament release, girth enhancement, pubic liposuction or a combination. The girth method, which vary substantially. The anaesthetic. And the length of stay. Itemised, and fixed once you approve it.
What is included. Everything in section 19 — the full consultation with proper measurement and fat pad assessment, the expectations conversation, the operation, the anaesthetic, medication, review appointments, a fitted traction device with the regime demonstrated, the operative report and traction protocol, written aftercare, the letter for your Canadian physician, continued contact, hotel with full board, transfers, and your coordinator. A companion is accommodated and fed at no additional cost.
What sits outside it. Flights, travel insurance, repeat sessions where fat transfer requires one, and filler top-ups where a temporary product was used.
Ask about deposit terms before you travel — section 10, and it matters here because a meaningful proportion of men do not proceed after the consultation.
How to compare quotes properly. Five checks. Will the clinic measure you properly and tell you where you sit within the normal range? The most important check by a wide margin. Does the clinic state plainly that lengthening does not increase erect length? A clinic that does not is misleading you, and that is the single largest source of dissatisfaction in this field. Has the effect on erection angle been explained? Is the fat pad assessed — section 5 — or is lengthening proposed without it? Is a traction device and protocol included? The gain depends on it, and a clinic that does not provide one has not thought about your result.
Why the lowest quote is the wrong question here. Because the most consequential thing on this page is whether you should have the operation at all — and an honest measurement, an honest statement about erect length, and an honest assessment of whether your length is concealed are not things a low price buys. A clinic that sells lengthening to a man who needed liposuction, or to a man with normal measurements, has produced a dissatisfied patient at any price. Our plastic surgery prices in Tunisia page sets out figures across the full range.
Canadian coverage. Not covered. Where a buried penis causes genuine functional problems, ask your physician — that may be assessed differently.
Getting your assessment. Send what specifically concerns you and in which situations, how long it has concerned you, your measurements and how you took them, your height and weight, whether you have any erectile difficulty, any curvature or pain, previous surgery, your medical history and medications, whether you smoke, and your age. A response follows within 24 to 48 hours, in French or English — including, where your description suggests it, an honest note that your measurements may be normal or that concealment rather than length may be the issue. You can request a free, personalised quote at any time.
23. Glossary
| Term | What it means |
|---|---|
| Suspensory ligament release | Dividing the ligament to increase flaccid length; does not affect erect length |
| Flaccid length | Length when not erect; what lengthening addresses |
| Erect length | Unchanged by lengthening surgery |
| Erection angle | Lowered by ligament release; an expected consequence |
| Traction | Daily stretching after surgery; what preserves the gain |
| Suprapubic fat pad | Fat over the pubic bone that conceals length |
| Buried penis | Concealment within the fat pad, with functional consequences |
| Dermal fat graft | A strip of the patient’s own tissue for girth |
| Fat transfer | Injected fat; partial reabsorption expected |
| Penile dysmorphic disorder | Severe distress about normal anatomy; surgery frequently does not help |
24. How Canadians search for this
- “Penis enlargement Tunisia cost” — the most common search. Ask first whether you would benefit at all.
- “Pénoplastie Tunisie” — how most Quebec patients search.
- “What is average penis size” — around 13 cm erect, with most men between roughly 10 and 16. The great majority of men who think they are below average are not.
- “Does penis lengthening surgery work” — it increases flaccid length, not erect length. Section 3, and this is the central fact.
- “Penis lengthening erect length” — no gain. A clinic telling you otherwise is misleading you.
- “Penile lengthening erection angle” — lowered by ligament release, and it is an expected consequence that should be discussed before consent.
- “Buried penis” — concealment by the fat pad, treated by liposuction or a suprapubic lift, and frequently the answer for men seeking lengthening.
- “Fat transfer penis girth” — partial reabsorption is expected, and a second session is frequently needed.
- “Penis filler permanent” — do not. Permanent non-medical injectables cause severe complications, sometimes years later.
- “Traction device after surgery” — several hours daily for three to six months, and without it the gain is largely lost.
- “Do penis pills work” — no, and some contain undeclared pharmaceutical ingredients, which is a genuine safety concern.
- “French speaking urologist abroad” — Tunisia’s distinguishing feature.
In summary
Two facts lead this page because they determine whether you will be satisfied. Lengthening surgery increases flaccid length and not erect length: a man who wants to be longer during sex will not get that here, and a clinic that implies otherwise is setting up a dissatisfied patient. And the great majority of men who seek this surgery have normal anatomy, measured properly, with the ruler pressed to the pubic bone. A meaningful proportion of men who consult us do not proceed, and we are entirely comfortable with that. For many, the answer is not lengthening at all — it is pubic liposuction, which frequently produces a greater visible change without dividing a ligament or altering an erection angle.
Where surgery is right, penoplasty at Aylan Clinic Tunisia includes proper measurement, an explicit expectations conversation, a fitted traction device with the regime demonstrated, and strict privacy. It takes place in a French-speaking country, which matters at the consultation — where you are told things you may not want to hear, and where you may want to say things that are hard to say. With accommodation, full board and a companion at no extra cost, for up to 60% less than Canadian private prices.
Five things to hold onto. Lengthening does not increase erect length; if that is what you want, this operation will not provide it, and knowing that beforehand is the difference between satisfaction and regret. Get measured properly, with the ruler pressed to the pubic bone — most men who think they are below average are not. Ask whether your length is concealed rather than short; for a substantial number of men, liposuction is the answer, and it changes nothing about the anatomy. Understand the traction commitment before you decide: several hours daily for three to six months, and without it the gain is largely lost. And if you have erectile difficulty, address that first — it is common, treatable, covered in Canada, and no amount of surgery here will resolve it.
Send us what concerns you and you will have an honest answer within 24 to 48 hours, including, where it applies, that surgery is not what you need. The procedures themselves, step by step, are set out on our penile enhancement in Tunisia page; figures are on our plastic surgery prices in Tunisia page; and you can request a free, personalised quote at any time.
Related reading: our intimate surgery in Tunisia overview, labiaplasty in Tunisia, vaginoplasty and vaginal rejuvenation in Tunisia, and gastric sleeve in Tunisia.