However, there are men with a penile shape and size within normal limits who may apply for augmentation of their flaccid penile length. Such men have an altered penile size perception which is called ‘penile dysmorphophobia’. This altered perception can be either aesthetic (dissatisfaction with the flaccid penile size) or functional (dissatisfaction with the erect penile size).2 Men with penile dysmorphophobia who have heard that their penis can be enlarged are applying to urologists to change their penile dimensions by augmentation phalloplasty.