1. Lubricate the sleeve of the cylinder and your penis as well
2. Insert your penis into the cylinder. The cylinder should remain firmly pressed against the base of the pubic area to keep air from escaping
3. Slowly begin to work the pump. There will be a slight sensation of pulling on the penis as air is drawn from the tube. For beginners, it is important to start this process slowly to avoid potential discomfort. Remember to activate the vacuum release valve if discomfort or pain becomes apparent
4. Continue pumping and releasing air until you’ve found the right level of pressure for you
5. Make sure that no air escapes (unless needed) and then wait 20 minute for the penis to relax. You may need to adjust the vacuum during this time