1. Introduction 2. The ethiology of erectile dysfunction 3. Clinical indications to a penile protshesis implantation 4. Anatomy: what we need to know 5. Phycological approach in patient attending a penile implant 6. Pre-operative exams and informed consent 7. Counselling, physical and medical preparation to the penile implant 8. History of penile prosthesis 9. Types of prosthesis available 10. Step by Step malleable prosthesis implant 11. Step by Step bi-component inflatable prosthesis implant 12. Step by Step 3-pieces inflatable prosthesis infrapubic approach implant 13. Step by Step 3-pieces inflatable prosthesis scrotal approach implant 14. Step by Step double implantation of penile prothesis and incontinence device 15. Step by Step PICS technique for end-stage peyronie's disease 16. Transgender neophallus implant 17. Step by step implant in Peyronie disease 18. Step by step implant in Peyronie disease plus plication surgery 19. Step by Step Multiple excision technique 20. Step by step Excision Patch Grafting and penile Implant 21. Step by Step implant in severe fibrosis 22. Step by step implant post priapism 23. Step by step penile implant with cosmetic surgery for short penis 24. Treatment of Penile Prosthesis Implant's Infection 25. The management of penile prosthesis complications 26. Management of the dissatisfied patient 27. On-going research Future of the penile implant