While prescription medications like Viagra are considered first-line treatments for erectile dysfunction, they’re not for everyone. Men with certain heart conditions should not take these drugs, and there are men for whom the drugs don’t perform well. While a penile implant may seem like an extreme solution, the vast majority of patients who have them are satisfied with them. Inflatable penile prostheses aren’t noticeable when flaccid, and in general, no one knows that a man has one unless he informs them. Finally, some health insurance plans offer coverage for penile implants, and hardly any offer coverage for erectile dysfunction drugs.