Simply insert the Penis into the device, secure the head and adjust the tension to your level of comfort. The key to penile enlargement is gradual tension over an extended period of time. Most Max-Xtender users note increases within a week or two!! You can expect permanent penile growth results....up to 2 inches or more. *Note: Results may vary more or less depending on frequency of use. Compare this device to some penis stretching devices selling for hundreds of dollars. for more detailed info on the Extender click here For detailed pictures of the Extender and the Extender being used - click here. Item A800$69.95 Two Stage Tubes (for testicle enlargement) To see pictures of what kind of results you can get from ball pumping click here! Two stage tubes are intended for the advanced pumper who is doing both his penis and testicles. The design has a smaller opening at the base going into a larger cylinder. This allows the usera more comfortable size opening without sucking in more of the lower body - yet allowing plentyof room for expansion. Using this type of tube some men have pumped up their penises to 14" incircumference and their testicles to 24" in circumference. These tubes are expensive because they require up to 3 weeks to manufacture in some cases. Important: if you would like to order a two-stage and are not sure of what size to get, provide your measurments and we can help you choose the appropriate size. You can send email to newartsupport@newart.com