Men who have lost all or part of their penis as a result of injury or surgery are certainly candidates for reconstructive operations. And, in certain cases where a man has a very small penis that is causing him severe, intractable psychological problems, cosmetic surgery may be considered a last resort. However, this is a radical step and clearly not a decision that can be rushed into. It is strongly recommended that anyone considering surgery should consult a urologist, as well as a therapist to discuss the issue and its psychological ramifications.
I bought my first pump in 1990. My issue was, while I was just over six inches in length erect, I was skinny. I used to do a half an hour session prior to my then lover arriving for sex. She was 18 (I was 24) and she thought I had the biggest dick ever. The reason: my veins were flush with blood and I was artificially inflated. But, over time, with regular pumping, the capillaries expanded for good, the muscles in my penis became bigger and stronger, and I gained noticeably in girth.
Now, you hold firmly the penis head, another hand keeps the remaining hand to make a grip. You can sit on the chair or stand up, it depends on you. Then, you get a firm grip on the head, hold straight, and hold for 30 second. You can pull the penis and stretch it, but you can feel painful when you perform this exercise. You can take a short break between the sets, and you can speed up the process or increase the intensity if you feel better.