To increase girth size permanently, the most reliable and scientifically supported methods are surgical procedures:

• Penile Enhancement Surgery : This involves transferring fat cells from another part of the body to the penis, which increases its girth permanently. However, some of the transferred fat may be reabsorbed by the body over time, potentially reducing the initial gain. Risks include infection, scarring, and dissatisfaction with cosmetic results

• Penile Implants : These surgically implanted devices primarily treat erectile dysfunction but can also increase girth permanently. They are more invasive than fat grafting and carry risks such as infection or mechanical failure

Non-surgical methods like penile fillers can increase girth temporarily (lasting 6 to 18 months) but require regular maintenance and do not offer permanent results

. Other non-surgical approaches such as vacuum pumps, traction devices, supplements, and exercises lack scientific evidence for permanent girth enlargement, though they may provide temporary or perceived improvements

. Natural ways to enhance perceived girth include weight loss (reducing fat around the pubic area), improving overall fitness, and grooming pubic hair to make the penis appear larger

. Because surgical procedures carry risks and variable outcomes, it is crucial to consult with qualified medical professionals specializing in men's health or andrology to discuss the safest and most effective options tailored to individual needs

. In summary, permanent girth increase is achievable mainly through surgical methods like fat grafting or implants, while non-surgical options provide temporary or less reliable results