My surgeon did an excellent job. It took her four hours because she was very careful and thorough. I had only minimal pain (did not need narcotics), bruising or swelling. I did not lose size due to taking Tadalafil 5mg and using penis pump daily for a month before the procedure and cycling (inflating and deflating) daily for several months afterwards. My wife and I are both very happy with the results. It is also nice to go on vacation without an oversized suitcase full of pads! I do need one thin pad a day since my surgeon did not make the urinary sphincter totally tight due to the possibility of erosion later due to my having had radiation. Also, the cost was $0 as it was covered by Kaiser Permanente Medicare. My surgeon asked why I chose her and I answered “because you have small hands”. She (a small Asian woman ) laughed 😂