Penis Enlargement Surgery in Tunisia: Girth, Length and Realistic Results

They are two unrelated operations addressing two different things. One adds tissue; the other repositions tissue that is already there.

Most men arrive with one of the two in mind and discover at the consultation that the other is closer to what they actually described. Say what bothers you rather than naming a procedure, and let the examination decide which operation answers it — or whether either does.

No figure for gain appears on this page, in centimetres or otherwise, because no honest one exists in advance. Anyone quoting you one is quoting an average at best and an invention at worst.

Lengthening is the procedure most often misunderstood, and the misunderstanding is predictable enough to be worth setting out before you book rather than after.

The operation does not create new tissue. A portion of the shaft is held inside the body by the suspensory ligament. Releasing that ligament allows more of it to sit outside. Nothing is added; what exists is repositioned.

Three consequences follow, and all three are expected rather than complications:

• The change is most visible at rest. That is where the repositioning shows.
• In erection the gain is limited. Men who imagine the flaccid change translating directly into an erect one are the ones who end up disappointed.
• The angle of erection sits lower. The ligament that held it up has been released, so it no longer does. This is not a side effect that sometimes happens; it is what the operation does.

There is also a longer-term point: scar tissue can retract over time and reduce part of the gain. How much varies, and it is one more reason no figure is quoted anywhere on this page.

None of this means the operation is not worth having. For a man whose concern is principally about appearance at rest, it does what it says. It means the question to settle before you travel is which of the two states actually bothers you — and if the answer is the erect state, lengthening is probably not the operation you are looking for.

A surgeon who tells you that is doing you a service. One who agrees with whatever you hoped for is not.

Yes. Girth augmentation and lengthening combined cost €2,850, with the same 3-day stay — against €3,850 if the two were priced separately. One anaesthetic, one theatre session, one recovery.

That said, wanting both is not the same as being a candidate for both, and the combination is decided at the consultation after an examination rather than chosen from a price list.

Two things worth thinking about before you ask for it:

• Recovery is a single recovery, but it is the longer of the two. You are healing a ligament release and a fat graft at the same time, plus the donor site where the fat was taken.
• The two results arrive on different timetables. The lengthening is apparent early; the girth result is not settled until three to six months, once resorption has finished. Judging the whole thing at week six will give you a misleading picture of both.

If your surgeon recommends doing one and reassessing later, that is a clinical judgement rather than a missed sale.

"Total discretion" means nothing on its own. Here is what it actually consists of, so you can check it rather than trust it.

If anything needs adjusting for your situation — a different contact method, a particular wording, something that must not appear on a document — say so at the first exchange. It is far easier to set up in advance than to correct afterwards.

Tunisia has run an organised medical travel sector for decades: private clinics built around international patients, surgeons trained to European standards, and costs that reflect Tunisian overheads rather than shortcuts in the operation.

What matters specifically for this procedure:

• Privacy is easier away from home. No local waiting room, no appointment in a diary someone else sees, an invoice under a general heading. For most men who enquire, this is a large part of the reason.
• It fits a short trip. Three days covers the consultation, the operation and the first check.
• Distance. Two to three hours from most of Western Europe, with direct connections from several Gulf hubs.
• English throughout, from the first exchange to the follow-up after you are home.
• A proper operating theatre. This matters more than it sounds. The alternative many men are offered — an injection somewhere informal — is the single worst decision available in this field.

Two things to weigh honestly before deciding:

• The girth result is not settled for three to six months, and you will spend that time at home. Know who you contact, and that they will still answer in month four.
• Your examination happens on arrival. The remote opinion is based on what you describe. If the surgeon concludes that one of the two operations is not appropriate for you, or that neither is, you will have travelled for an answer. Ask us in advance what happens financially in that case.

And the criterion that should not decide this: price. The gap between a good result and a bad one here is judgement, and the worst outcomes in this field are bought cheaply.

This procedure is performed by Dr Taher Djemal, plastic surgeon, practising in Tunisia since the early 1990s, at the Clinique Internationale Myron in Tunis.

You meet him in person for the consultation before anything is decided, and the plan is confirmed, adjusted or reconsidered at that point.

Questions worth asking, and they are short:

• Based on the examination, which of the two operations actually addresses what I described?
• What should I expect to see at rest, and what should I expect to see erect?
• How much of the transferred fat do you expect to remain, and what happens if it is less?
• What will the angle of erection be afterwards?
• What would make you advise against operating on me?

The second question is the one that separates a good consultation from a sales conversation. A surgeon who answers it in two parts — one for each state — is being straight with you. One who answers it in general terms is not.

What to do, which operation, and whether to operate at all is a medical decision and belongs to the surgeon, not to ServiHealth.

ServiHealth organises and coordinates the stay. The medical decisions belong to the surgeon and the anaesthetist; everything around them is our work.

What to prepare

• A valid passport, and a visa if your nationality requires one for Tunisia.
• Pre-operative tests, done at home, sent in advance.
• A full list of medication and allergies, anticoagulants included, plus any clotting disorder.
• Stop smoking for the period your surgeon specifies. It affects how a fat graft survives and how a wound heals.
• Loose clothing and cotton underwear for the journey home.
• About a week without physical effort at work after you return, and three to four weeks before sport or sexual activity.
• Your questions, written down. They are harder to ask in the room than at home.

Girth augmentation €1,850, lengthening €2,000, both together €2,850 — each with a 3-day stay.

What the price covers: the consultation with the surgeon, the procedure, the anaesthesia, the transfers, and the post-operative follow-up after you return home.

Quoted separately: a second fat transfer session, if one is discussed from around six months. It is not systematic, and it is not included.

Ask for the inclusions in writing for your own case before you commit, and read them against what you will actually need: flights, the nights you are staying, and the pre-operative tests you have done at home.

Two notes on comparing prices for this particular procedure.

Doing both together saves €1,000 over having them priced separately, which is a genuine saving and not a reason in itself to have both. Which operations are appropriate is a clinical question, not a budgeting one.

And price should be well down your list of criteria here. The cheapest options available in this field are not cheaper versions of this operation — they are permanent filler injections performed outside proper medical settings, and what they cost is set out in the warning section above. There is no version of this where saving money is the right objective.

The procedure is for adults of 18 and over, in good health, after an examination. Development must be complete, and no reputable surgeon operates on a minor for this.

The operation is postponed or ruled out in these situations, each assessed individually by the surgeon and the anaesthetist:

• An active local or urinary infection
• Active smoking that has not been stopped beforehand — it directly affects how a fat graft survives
• A clotting disorder, or treatment with anticoagulants
• Any condition that contraindicates anaesthesia
• An untreated urological condition, which is assessed first
• Insufficient fat to harvest, for girth augmentation

And one that is not medical

Unrealistic expectations are a reason not to operate, and the commonest one concerns lengthening: expecting the change seen at rest to appear equally in erection. It does not, and no surgical technique makes it.

There is a second version of this worth naming plainly, once. Many men who consider this surgery have anatomy well within the normal range, and the distress they feel is real but is not about the measurement. If this occupies a great deal of your thinking, if it has persisted for years, if it affects whether you form relationships or undress in front of anyone — that distress deserves to be taken seriously, and surgery is not reliably the thing that resolves it. Talking to a professional about it first is not a brush-off and it is not a diagnosis; it is the step most likely to help, and it does not close the door on surgery afterwards.

That is said once on this page and not repeated. Most men enquiring are not in that position. The ones who are deserve to be told rather than simply operated on, and a clinic that never raises it is not being kind.

Both operations carry real risks. They belong here, before you book, not in a consent form on the morning.

Expected after-effects, in both: swelling, bruising and tenderness — including at the donor site, if fat has been harvested. These are not complications.

Common to both operations:

• Haematoma
• Infection
• Delayed healing
• Pain that can persist for some weeks rather than days

Specific to girth augmentation:

• Partial resorption of the fat, leaving a result below what was planned. This is the commonest disappointment and the reason a second session exists as an option.
• Surface irregularities and asymmetry
• Firm nodules, uncommonly, where fat has not established a blood supply

Specific to lengthening:

• Scar retraction over time, which can reduce part of the gain
• A lower angle of erection. This is an expected consequence of releasing the ligament, not a complication — but it is a permanent change and you should decide about it in advance.
• A sense of instability during erection, rarely

On erectile function: fat transfer places tissue under the skin of the shaft and does not involve the erectile structures. Raise any concern about erectile function or sensation with the surgeon at the consultation, including anything that pre-dates the operation — it may change what is advisable.

Contact your surgeon the same day if you have worsening pain, a fever, any discharge, marked swelling on one side, or any difficulty passing urine. None of these waits for the next scheduled contact.

Results vary from one patient to another. No gain is guaranteed, in either dimension, and your surgeon will tell you at the consultation what is realistic in your case.

Commitments are worth something only when they are specific enough to be checked. These are ours.

• Your own fat and nothing else for girth augmentation. No liquid silicone, no paraffin, no permanent filler — under any circumstances, whatever is requested.
• A proper operating theatre, at the Clinique Internationale Myron, with an anaesthetist.
• An examination before any decision. The remote opinion is based on what you describe; the plan is set in person.
• No figure promised in advance. You will not be quoted a gain in centimetres by anyone here, because nobody can honestly quote one.
• A written quote, under a general heading, before you travel.
• A surgeon who may tell you no — to one of the two operations, to both, or to operating at all.

What we do not commit to is a result, and you should be sceptical of anyone who does. Part of the transferred fat is reabsorbed in a proportion nobody can predict. The lengthening shows mainly at rest. Scar tissue behaves differently in different men. These are the honest boundaries of what this surgery does, and a clinic that will not state them is managing your expectations in the wrong direction.

If something concerns you after you are home — a lump, an asymmetry, a result below what was planned — raise it rather than waiting. Most of it is better addressed early, and some of it resolves on its own before the six-month mark.