1. Confidence & Self‑Image Are Big Motivators
   Men who seek penile enhancement often do so to feel more confident, reduce insecurity about appearance, or improve sexual satisfaction. 

2. Psychological Benefit Doesn’t Always Match Physical Change
   Even when actual size increases are modest, many report improvements in self‑esteem, confidence, and sexual relationship satisfaction. For example, in a study using hyaluronic acid for girth enhancement, there was a mean gain of ~3.29 cm in girth, and many participants reported greater confidence and sexual pleasure. 

   But note: many still felt their size was less than ideal even after the enhancement — though the gap between perception and ideal shrank.

3. Body Dysmorphic Disorder (BDD) & Self‑Discrepancy
   A subset of men seeking enhancement meet criteria for BDD or have high self‑discrepancy (i.e., large gap between perceived actual size vs. ideal/external expectations).

   Some studies show that after penile enlargement in Riyadh, those who had BDD symptoms sometimes no longer meet the criteria. But psychological distress, overall self‑esteem, and body image quality of life don’t always change dramatically for everyone. 

4. Non‑Surgical Options Are Growing in Popularity
   Methods like fillers, traction devices, etc., are getting more attention. Many produce more modest gains compared to surgery, but with fewer risks and often faster recovery. 

✅ Ways to Boost Confidence (Medical + Mental)

Here are practical strategies, both physical/medical and psychological, that tend to help men feel better about themselves, whether or not they go through enhancement.

⚠️ What to Be Careful Of

• Unrealistic expectations: Thinking a procedure will completely change your life or fix all insecurities can lead to disappointment.

• Psychological strain: Even after successful procedures, some men continue to feel inadequate if the underlying fear or self‑image issue wasn’t addressed.

• Risks & complications: All medical procedures have risks; nonmedical methods (supplements, unproven devices) can be dangerous or ineffective.

• Social and emotional motivations: Ensure you are doing it for you, not purely due to external pressures (partner, media, peers).

🧠 Mindset Tips (Non‑Procedural Changes)

• Practice self‑acceptance: It helps to shift focus from what you don’t have to what you do.

• Work on overall self‑confidence: fitness, grooming, posture, emotional wellbeing often boost how you feel about all parts of yourself.

• Honest communication: With partners, friends, or professionals; sharing insecurities often relieves some of the burden.

• Limit exposure to unrealistic media / comparisons.