How Much Does Penis Enlargement Surgery Cost in 2026?
Penis enlargement surgery costs between $5,000 and $20,000 in the United States in 2026, with the average patient paying approximately $8,000 to $13,000 depending on the procedure type, geographic location, and surgeon expertise. These figures include surgeon fees, anesthesia, and facility costs. According to data from the American Society of Plastic Surgeons (ASPS) and urology practice pricing surveys, penile enhancement procedures have seen a steady increase in demand, with costs rising 5–10% annually over the past several years.
Penis enlargement surgery — also called penile augmentation or phalloplasty — encompasses several distinct procedures targeting length, girth, or both. The wide price range reflects the significant differences between a simple dermal filler injection and a complex combined surgical procedure with fat transfer and ligament release.
Because nearly all penis enlargement procedures are classified as elective cosmetic surgery, patients should expect to pay the full cost out of pocket. Understanding the detailed cost breakdown, regional pricing differences, and available financing options is essential before making this investment.
Cost by Procedure Type
The total cost of penis enlargement surgery depends heavily on which technique is performed. Below is a comparison of the most common procedures available in 2026.
| Procedure Type | Average Cost | Cost Range |
|---|---|---|
| Suspensory Ligament Release (Lengthening) | $8,500 | $6,000 – $12,000 |
| Fat Transfer Girth Enhancement | $10,000 | $7,000 – $15,000 |
| Dermal Filler Girth Enhancement (HA Fillers) | $5,500 | $3,500 – $8,000 |
| Penuma Silicone Implant | $14,000 | $13,000 – $18,000 |
| Combined Lengthening & Girth Enhancement | $15,000 | $12,000 – $20,000 |
| Suprapubic Lipectomy (Fat Pad Removal) | $5,000 | $3,000 – $7,000 |
The Penuma silicone implant — the only FDA-cleared penile implant for cosmetic enhancement — commands premium pricing due to the cost of the device itself and the specialized training required. Dermal filler injections are the least expensive option but require repeat treatments every 12–18 months, which increases long-term costs.
Cost by State
Geographic location is one of the biggest factors influencing penis enlargement surgery pricing. Metropolitan areas with higher costs of living and greater demand for cosmetic procedures tend to charge significantly more.
| State | Average Cost | Cost Range |
|---|---|---|
| California | $14,000 | $8,000 – $20,000 |
| New York | $13,500 | $8,000 – $18,000 |
| Florida | $11,000 | $7,000 – $17,500 |
| Texas | $10,000 | $6,500 – $15,000 |
| Illinois | $9,500 | $6,000 – $14,000 |
| Pennsylvania | $9,000 | $5,500 – $13,500 |
| Georgia | $9,500 | $6,000 – $13,000 |
| Ohio | $8,000 | $5,000 – $12,000 |
| North Carolina | $8,500 | $5,500 – $12,500 |
| Arizona | $9,000 | $5,500 – $13,000 |
| Nevada | $11,500 | $7,000 – $16,000 |
| Colorado | $9,500 | $6,000 – $14,000 |
Patients in Ohio, North Carolina, and Arizona can save $3,000–$6,000 compared to the same procedures performed in Los Angeles, New York City, or Miami. However, traveling for surgery should be weighed against the need for follow-up appointments.
Insurance vs. No Insurance
Penis enlargement surgery is almost universally considered an elective cosmetic procedure, which means insurance coverage is exceptionally rare.
| Coverage Type | Typical Patient Cost | What's Covered |
|---|---|---|
| Private Insurance | $5,000 – $20,000 (full cost) | Not covered; classified as cosmetic in nearly all cases |
| Medicare | $5,000 – $20,000 (full cost) | Not covered; no Medicare reimbursement code for cosmetic penile augmentation |
| Medicaid | $5,000 – $20,000 (full cost) | Not covered; may cover reconstructive procedures for documented congenital conditions |
| Without Insurance | $5,000 – $20,000 | Full out-of-pocket responsibility; some surgeons offer cash-pay discounts of 5–15% |
In extremely rare cases involving diagnosed micropenis (a clinical condition defined as a stretched penile length more than 2.5 standard deviations below the mean) or congenital abnormalities, a portion of reconstructive surgery may qualify for insurance coverage. Patients would need extensive documentation from a urologist and prior authorization from their insurer.
Cost Breakdown: What's Included
The total price quoted by a surgeon typically includes multiple components. Understanding each line item helps you compare quotes accurately.
| Cost Component | Typical Cost Range |
|---|---|
| Surgeon's Fee | $3,000 – $10,000 |
| Anesthesia (local or general) | $800 – $2,500 |
| Facility/Operating Room Fee | $1,000 – $3,500 |
| Pre-Operative Lab Work & Tests | $200 – $500 |
| Penuma Implant Device (if applicable) | $3,000 – $5,000 |
| Post-Operative Traction Device | $100 – $400 |
| Prescription Medications | $50 – $200 |
| Follow-Up Appointments | $0 – $500 (often included) |
Always request an all-inclusive quote in writing before scheduling surgery. Some practices advertise low surgeon fees but add significant facility and anesthesia charges that inflate the final bill by 30–50%.
Factors That Affect Cost
Geographic Location
Surgeons in major coastal cities like Los Angeles, New York, and Miami charge 30–60% more than those in the Midwest or Southeast. This reflects higher overhead costs, real estate, and local market demand for cosmetic procedures.
Surgeon Experience and Specialization
Board-certified urologists or plastic surgeons who specialize in penile augmentation and have performed hundreds of procedures command higher fees — often $2,000–$5,000 more than general cosmetic surgeons. This premium typically correlates with better outcomes and lower complication rates.
Procedure Complexity
A standalone dermal filler injection takes under an hour and costs a fraction of a combined ligament release with fat transfer girth enhancement, which may require 2–3 hours of operating time under general anesthesia.
Facility Type
Hospital-based procedures cost more than those performed in accredited ambulatory surgery centers (ASCs) or private surgical suites. ASCs typically save patients $1,000–$3,000 on facility fees alone.
Anesthesia Type
Procedures performed under local anesthesia with sedation cost significantly less than those requiring general anesthesia with a board-certified anesthesiologist. Local anesthesia may save $800–$1,500.
Revision or Repeat Procedures
Fat transfer girth enhancement has a fat reabsorption rate of 30–50%, meaning some patients require a second procedure. Dermal fillers need repeat injections every 12–18 months. These ongoing costs should be factored into your total investment.
How to Save Money on Penis Enlargement Surgery
- Get Multiple Consultations: Obtain quotes from at least 3–4 surgeons in different locations. Price differences of $3,000–$7,000 for the same procedure are common. Many surgeons offer free or low-cost initial consultations.
- Consider Lower-Cost Regions: Traveling to states like Ohio, Arizona, or North Carolina can save thousands without sacrificing quality. Look for board-certified specialists in these areas with strong before-and-after portfolios.
- Choose an Outpatient Surgery Center: Ambulatory surgery centers charge 20–40% less than hospitals for the same procedure. Ensure the facility is accredited by AAAHC or AAAASF.
- Ask About Cash-Pay Discounts: Many practices offer 5–15% discounts for patients who pay the full amount upfront. This can save $500–$2,000 on a typical procedure.
- Start with Less Invasive Options: Dermal filler injections or suprapubic fat pad removal are significantly cheaper entry points. You can always pursue more extensive surgery later if desired.
- Use Promotional Financing: CareCredit and similar medical credit cards frequently offer 0% APR for 12–24 months. If you can pay off the balance within the promotional period, you avoid all interest charges.
- Bundle Procedures: If you need both lengthening and girth enhancement, combining them into a single surgical session typically costs 15–25% less than having them done separately due to shared anesthesia and facility fees.
Financing Options
Since insurance rarely covers penis enlargement surgery, most patients rely on self-pay financing. Here are the most common options available in 2026.
| Financing Option | Details | Typical Terms |
|---|---|---|
| CareCredit | Medical credit card accepted by most cosmetic surgeons | 0% APR for 6–24 months; 26.99% variable APR after |
| Prosper Healthcare Lending | Fixed-rate medical loans | Loans from $2,000–$100,000; 24–84 month terms; rates from 5.99% APR |
| In-House Payment Plans | Offered directly by the surgeon's practice | Typically 3–12 monthly installments; often interest-free |
| HSA/FSA Funds | Pre-tax health savings; rarely applicable for cosmetic procedures | Only eligible if documented as medically necessary |
| Personal Loan | From banks or online lenders (SoFi, LightStream) | $1,000–$50,000; 6.99–15.99% APR; 24–84 months |
| Credit Card | Standard credit card with introductory 0% APR offer | 0% APR for 12–21 months on new cards; high rates after |
The best financing strategy is to secure a 0% APR promotional period long enough to pay off the full balance. For a $10,000 procedure on a 24-month 0% plan, monthly payments would be approximately $417 with zero interest charges.
Pro Tips
Verify Board Certification: Only choose a surgeon who is board-certified by the American Board of Urology or the American Board of Plastic Surgery. Check credentials at abms.org. Penile augmentation performed by unqualified practitioners carries significantly higher complication rates.
Request Itemized Quotes: Never accept a vague "total cost" estimate. Ask for a line-by-line breakdown including surgeon fees, anesthesia, facility charges, implant costs, and follow-up visits. This makes comparing quotes between practices straightforward and prevents surprise bills.
Ask About Revision Policies: Before surgery, clarify the surgeon's policy on revisions or touch-ups. Some surgeons include one revision in their original fee, while others charge full price for any additional procedures. This is especially important for fat transfer, where reabsorption is common.
Commit to Post-Op Protocols: For ligament release procedures, consistent use of a penile traction device for 3–6 months after surgery is critical for maintaining results. Skipping this step can result in scar tissue contraction that negates the surgical gains — essentially wasting your investment.