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The viagra herbal substitute performs penis enlargement of both the length and girth of the visible penis is now surgically possible. The outpatient procedure takes less than 90 minutes and you leave the ambulatory surgery center within 2-3 hours. Most patients resume normal activities in a few days. In the great viagra herbal substitute, the operation (with proper postoperative use of the penis stretcher) produces a length increase in of at least one inch, often more, rarely less and at least 50% increase in girth (circumference).