A technique for penal enlargement. The apparent length of the penis is first increased by cutting ligaments that attach the penis to the pubic bone. Then the girth of the penis is increased by making two cuts making two apertures in the penile skin near the base of the penis (proximal) and near the glans of the penis (distal) and inverting the skin from the top side of the penis so that the glans of the penis protrudes through one of the skin aperture (proximal) substantially all of the exposed penis protrudes through this skin aperture, leaving the top half of the penis skinless defining a bare penile region. One or more layers of donated skin graft are attached to the patients fascia (tunica albuginea) covering the bare region. Instead of donated skin, the patient own skin graft can be used for penile girth augmentation, or any other material, that can be safely increase the girth of the penis such as animal (pig or any others) skin graft, bioengineering graft, silicon graft, fat skin graft, stem cells graft from patient fat graft or other tissue that can be used in the future instead of current grafts applying the same surgical technique. Then the patients skin from the back of his penis is re-inverted approximately back to its original position and covering the donated skin graft (or nay other graft described above) stitched to the patients skin. The two incisions are then closed.
