Would you pay R200 000 in an attempt to impress the boys in the locker room or the ladies in the bedroom - with dubious results? This is the cost of surgery to increase the size of the penis.
Those wanting to do it more cheaply could choose from a range of products which manufacturers claim will increase penis size. But experts say claims about the creams, pills and contraptions are all a lot of hogwash.
Creams that thicken, pills that lengthen and "devices" - the effects of which are best left to the imagination - are being advertised in newspapers, magazines and on the Internet.
The marketer of one cream claims you will gain four centimetres or more in length and girth in two-and-half months.
"It is a heat-generating cream that you apply every night and has no side-effects," the telesales woman for one of the creams says in a monotone.
The devices, many of which are penis pumps, work by forcing blood into the penis and were originally devised for men with erection problems. Experts have warned that they hold no benefit and may bruise the penis or even cause problems with ejaculation.
Head of Men's Clinic International, Nevon Ramsunder, said that the reason for the high sales of many of these "wonder" drugs and creams was the gullibility of South African men.
"The South African market is just so gullible that if I took a few Panados and painted them different colours and sold them as new enlargement pills, I would probably make a million bucks," he said.
Ramsunder noted that the trend was especially apparent among young men and was less common in older men. "When you get over 50, most men are more concerned with it just working than anything cosmetic," he said.
Surgery is considered by many in the medical fraternity as the only solution to this "problem" but even that is not without hassles and risks.
Don Hudson of the plastic surgery department at Groote Schuur Hospital in Cape Town said he performed about two penis operations every year.
He was adamant that there was no substance to the pills, creams, and devices because they had not been proved medically.
"If it worked, the okes would have been on it a long time ago."
Hudson said the hospital performed the operations only on men who had suffered severe amputations, usually as a result of botched tribal circumcisions.
"This whole thing of wanting a bigger penis comes from a gym or locker room mentality among men. They see each other in the shower and one guy thinks he's a bit smaller than the others."
Hudson said surgery was popular in Europe and the United States and the most common procedure was developed in China. This technique was developed by a Chinese plastic surgeon named Dr Long. It was as common internationally as many other forms of plastic surgery like breast enlargements and lip enhancements.
As with any operation there were side effects and possible complications.
One of the most apparent was more a practical problem than a medical one. "When it is extended, the angle of the penis to the body is changed so it sticks straight out. During sex, you will have to use your hand to get it in the right place," Hudson said.
The insecurity of so many men about their penises was a relatively new thing, and Hudson said the logic behind it was deeply flawed.
"The reality is that the outer third of the vagina is all that has feeling so it shouldn't make any difference whether it's longer or not," he said.
To increase the girth of the penis was something not to be encouraged as it was an extremely complex procedure that could give rise to a number of complications.
"I have heard horrible stories of guys losing their penises or ending up with a stump. It just doesn't make sense to me."
He said there were private surgeons performing the procedures in South Africa for those willing to pay. But for an estimated price of between R100 000 and R200 000, it's sure to hit where it hurts most.