Erectile dysfunction (ED) seriously affects the quality of life of men, there are about 150 million patients with different degrees of ED worldwide, and the number of patients in China is estimated to be up to 8 to 10 million. In today’s highly developed medical science, ED patients can choose a variety of effective treatment methods according to their own situation. Currently, internationally recognized treatment methods include first-line (psychotherapy and behavioral therapy, oral medication, vacuum negative pressure suction), second-line (urethral drug delivery, cavernous body injection) and third-line treatment (penile support implant). Viagra is a generic term for a class of drugs (including sildenafil, vardenafil and tadanafil, etc.) whose clinical application has led to breakthroughs in the treatment of ED, with an overall success rate of sexual intercourse approaching 70% after treatment. The overall success rate of sexual intercourse after treatment can be close to 70%, becoming one of the most effective and popular ED treatment methods. However, despite this, these drugs are still facing the following problems: 1, the effect on serious organic ED is poor or even ineffective; 2, some patients can not tolerate because of headache, facial flushing, back pain, visual abnormalities and other side effects; 3, some patients are contraindicated to use these drugs because they need to take nitric acid drugs for a long time. So, are there other options? Of course there are – patients can also choose vacuum negative pressure suction, transurethral drug delivery, cavernous drug injection and other methods, however, due to inconvenience, less than ideal results, pain, cavernous fibrosis and many other different factors, the overall proportion of patients give up treatment can be as high as 50%. The last choice – “penis support” to support the confidence of men The penis support was once called “penile prosthesis”, and now some scholars also call it “penile erectile device “It was inspired by Bogaras’ 1930’s attempt to perform phalloplasty using rib cartilage as a scaffold, and as time went on, a series of semi-rigid, flexible and expandable supports were introduced. The latter includes single, double, and triple prostheses consisting of a pair of fluid-filled cylinders, a fluid pump valve to control penile erection, and a reservoir capsule, which are surgically placed in the scrotum and the reservoir capsule in the retropubic symphysis with a connecting catheter. The cylindrical body is placed in the white membrane cavity of the penile corpus cavernosum. The fluid in the reservoir is pressed into the cylinder to support penile erection by squeezing the hydraulic pump in the scrotum during sexual intercourse. After sexual intercourse, the liquid in the cylinder flows back to the reservoir when the control switch of the pump valve is pressed, and the penis returns to a weak state. The three-piece support body is currently the most popular due to its concealment and proximity to physiological erection, and the application of a pre-connected head and antibacterial coating makes the procedure safer and faster. Unlike the aforementioned non-surgical treatments that are only effective in some patients, penile support implantation is effective in almost any ED patient and is the ED treatment with the highest patient and partner satisfaction. Patients with organic erectile dysfunction or severe psychological erectile dysfunction for whom other treatments have failed. As the performance of the support and implantation techniques continue to improve, its long-term efficacy is much higher than that of procedures targeting the penile vasculature and its clinical use is gradually shrinking. In the United States, more than 20,000 ED patients are restored to sexual life through penile implantation each year. In China, according to incomplete statistics, there are only a few dozen cases of penile support surgery each year. What is it that causes such a significant difference between the United States and China? There is no accepted and authoritative explanation yet, and I think it includes at least the following reasons: 1. Due to the lack of relevant knowledge and technology, many male surgeons do not further recommend the use of penile support for patients whose first- or second-line treatments are ineffective, and the overall level of social awareness of support is not high; 2. The traditional culture and concepts in China often lead to the rejection of the treatment by patients and their families; 3. Economic factors and and The level of economic and social development is compatible with the level of sexual awakening, etc. As male practitioners, we have the responsibility and obligation to make it clear to ED patients that in cases where first- or second-line treatments are ineffective or unwilling or unavailable, penile brace implantation is a proven treatment option. It is also important to explain the cost to the patient so that he or she can weigh the financial implications, the difference between a supported erection and a physiological erection, the possibility of mechanical failure and post-operative complications such as infection, erosion, and post-operative pain. The surgeon should also properly assess his or her level of experience and the difficulty of the procedure in order to obtain a high success rate and good surgical results.