Penile augmentation is an important part of penile surgery, the demand for and supply of which has increased because of mens desire for a larger penis. There is some controversy about the rationality of this operation, because the surgical indications and standardization of surgical techniques are not confirmed. Nevertheless, the clinical necessity for penile augmentation is beginning to be accepted as is aesthetic surgery in women. Penile augmentation is performed mainly by using dermal fat grafting for girth enhancement and skin reconstruction or ligament release for lengthening. Several new techniques and modification have been introduced. This review describes recent advances in the field of penile augmentation surgery.