This is a case report of a 62-year-old male who had penile augmentation surgery performed in Turkey. The surgery was complicated by infection and necrosis of the penile skin. The patient was treated with antibiotics, repeated wound debridement and a full thickness skin graft. Cosmetic penile surgery is considered controversial due to poor results and severe complications. Most men who seek surgery have normal penile size and may show signs of body dysmorphic disorder with avoidance behaviour and erectile dysfunction. These patients should be offered psychological treatment.