It seems that spam emails inviting men to try increasing the size of their member would be best targeted to addresses ending in .de. According to the latest data release by the International Society of Aesthetic Plastic Surgery (ISAPS), there were 2,786 operations estimated to have taken place in Europe’s biggest country - which is more than in any other nation. The organisation estimates that there were 15,414 of these operations performed worldwide so almost one in five of those seeking to add centimetres to their member were in Germany. It is not a huge amount of men deciding to have an intimate nip and tuck in Germany - it’s roughly eight out of every 100,000 adult males usually resident in the country. However, only Venezuela, where four out of every 100,000 adult males have a the operation, comes anywhere near close to the German rate. It’s worth pointing out here that the figures are not broken down by the nationality of the patient so it’s not necessarily German men or people that live there going for the procedure. The German Centre for Urology and Phalloplasty Surgery claims to have performed over 6,000 operations. They claim to be able to enhance the length of the member by 3-6cm and the girth by 2-3cm. The cost of the operation? €9,600 (including materials and ancillary costs). The growing trend for the operation was noticed back in 2011 by English language site The Local. They reported the president of the German Association of Aesthetic Plastic Surgery as saying that the surgery was now the seventh most popular type of aesthetic operation for men in the country. The ISAPS data is not broken down by gender for each nation so the relative popularity of the operation is not quite clear. Source
