The Upsize Procedure: What to Expect Before, During & After

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Dr. Joel Pash

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What to expect at your Upsize Clinic consultation from scheduling through leaving the office so you can approach your appointment with confidence.

A consultation is your opportunity to get questions answered, understand your options, and determine whether penis enhancement makes sense for you. It’s also when your provider evaluates your anatomy and candidacy. Understanding what happens during this visit helps you prepare and make the most of your time.

Before Your Consultation

Scheduling

Consultations can be scheduled by phone or online. When booking, you’ll provide basic contact information and may complete initial intake forms. Many patients start with a brief phone consultation to discuss basics before scheduling an in-person visit.

Preparing for Your Appointment

Gather relevant information:

  • List of current medications
  • Known allergies
  • Relevant medical history (prior surgeries, chronic conditions)
  • Previous enhancement procedures, if any

Prepare your questions: Write down anything you want to ask. It’s easy to forget questions in the moment.

Think about your goals: What specifically do you hope to achieve? What concerns are driving your interest in enhancement?

Logistics: Plan for an appointment lasting 30-60 minutes. Wear comfortable clothing. If you’re considering same-day treatment, allow additional time.

Arrival and Check-In

When you arrive at the clinic:

  • You’ll check in at reception
  • Complete any remaining paperwork (medical history, consent forms)
  • Your privacy is protected—other patients won’t know why you’re there
  • You’ll be shown to a private consultation room

The Consultation Process

1. Medical History Review

Your provider will review your health history, including:

  • Current medications and supplements
  • Allergies (especially to lidocaine or any filler products)
  • Previous surgeries
  • Chronic health conditions
  • Previous enhancement procedures
  • Bleeding or clotting disorders

This information helps determine candidacy and identify any precautions needed.

2. Discussion of Your Goals

Your provider will ask about your motivations and expectations:

  • What specifically concerns you about your current anatomy?
  • What are you hoping to achieve with enhancement?
  • How long have you been considering this?
  • What’s your understanding of what enhancement can accomplish?

This conversation helps ensure your expectations align with realistic outcomes. It’s also an opportunity for the provider to assess whether enhancement is appropriate for your situation.

3. Physical Examination

A brief physical examination allows the provider to assess your anatomy. This typically involves:

  • Visual assessment of current size and proportions
  • Evaluation of skin quality and tissue characteristics
  • Checking for any conditions that might affect treatment
  • Assessment of how much enhancement is appropriate for your anatomy

The examination is professional and clinical. Many men feel apprehensive, but remember that your provider performs these consultations routinely.

4. Recommendations and Options

Based on your goals and anatomy, your provider will recommend appropriate procedures:

5. Procedure Explanation

You’ll receive detailed information about the recommended procedure:

  • How the procedure works
  • What happens during treatment
  • Recovery timeline and restrictions
  • How long results last
  • Maintenance requirements

6. Risk Discussion

Your provider will explain potential risks and complications:

  • Common side effects (swelling, bruising)
  • Less common complications
  • How complications are managed
  • What to watch for after treatment

This discussion is part of informed consent. Don’t hesitate to ask questions about anything that concerns you.

7. Cost and Logistics

You’ll receive clear pricing information:

  • Cost for recommended procedures
  • What’s included (follow-up appointments, etc.)
  • Payment options
  • Financing availability if applicable

8. Questions and Answers

This is your opportunity to ask anything you want to know. There are no stupid questions. Common questions include:

  • Can you show me before/after photos of similar cases?
  • What’s the worst outcome you’ve seen, and how was it handled?
  • What’s your personal complication rate?
  • What happens if I’m not satisfied with results?
  • How many of these procedures have you performed?

After the Discussion: Your Options

Option 1: Proceed Same Day

If you’re confident in your decision and meet candidacy requirements, the Upsize procedure can often be performed immediately following consultation. Many patients prefer this approach—one visit covers everything.

Option 2: Schedule for Later

There’s no pressure to decide immediately. You can schedule a procedure for a future date, giving yourself time to process information, discuss with a partner, or simply feel ready.

Option 3: Decide Not to Proceed

After consultation, you may decide enhancement isn’t right for you—at least not now. That’s perfectly fine. A consultation is for information gathering, not obligation.

What Makes a Good Consultation

Use your consultation experience to evaluate the provider. Positive signs include:

  • Provider listens to your concerns without dismissing them
  • Questions are answered thoroughly
  • Risks are discussed openly, not minimized
  • Realistic expectations are set—not just best-case promises
  • No pressure to decide immediately or proceed if you’re uncertain
  • You feel respected and comfortable

Red flags include pressure tactics, dismissal of risk questions, guarantees of specific results, or discomfort during the interaction. For more guidance, see our article on how to choose a provider.

Privacy and Confidentiality

Your consultation and any treatment are completely confidential:

  • Records are protected by medical privacy laws
  • Information is not shared without your consent
  • Discrete billing practices
  • Private treatment rooms

Frequently Asked Questions About Consultations

Is there a consultation fee?
Contact your specific Upsize Clinic location for current consultation policies.

How long does a consultation take?
Plan for 30-60 minutes for the consultation itself. If proceeding same-day, allow additional time.

Can I bring my partner?
Yes, you’re welcome to bring a partner or support person.

Do I need to prepare anything?
Bring a list of medications and any relevant medical history. Having your questions written down helps.

Will I have to get undressed?
A physical examination is part of the consultation. You’ll be provided privacy and only the relevant area is examined.

Related Resources

About the Author

Dr. Pash performs the Upsize™ procedure in San Francisco and has performed over 1500 procedures.
Learn more about penis enlargement in San Francisco →

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