Silicone and saline testicle implants are available. The silicone implants are safe and feel very natural but are slightly firmer than a normal testicle. The silicone testicle implants are made of a gel that will not leak if the implant is punctured or injured. The saline implants are supposedly softer but are not made in adult sizes. Therefore, silicone implants are placed in almost all adults.
The surgery is relatively minor and is not very uncomfortable. It takes about one hour and is performed in a fully accredited surgical center. General anesthesia is usually used. The complication rate is extremely low. I will see you on the day before surgery, and you can return home 2-3 days after the operation. If you have a relatively sedate job, you can probably return to work in 5 days. You can resume sexual relations in about 4 weeks. Insurance usually covers a large portion of the cost unless you are in an HMO.