Penis size, encompassing both length and girth of the penile shaft, is often associated with a man’s sense of masculinity, self-esteem, and confidence. This perception has changed over the past few decades due to social media, growing health consciousness, and changing cultural norms. As a result, there has been a discernible increase in complaints regarding sexual health due to dissatisfaction with penile size. Concerns about penile shortening, whether perceived or actual, are common among patients undergoing different penile surgeries specifically penile prosthesis implantation. Ensuring optimal postoperative penile length is critical for patient satisfaction and quality of life, to reduce postoperative dissatisfaction and psychological distress, preoperative discussions are crucial in ensuring that surgery expectations are in line with realistic outcomes.