{"id":32782,"date":"2026-05-05T09:00:00","date_gmt":"2026-05-05T07:00:00","guid":{"rendered":"https:\/\/kpw.law\/?p=32782"},"modified":"2026-05-05T11:34:45","modified_gmt":"2026-05-05T09:34:45","slug":"top-position-through-center","status":"publish","type":"post","link":"https:\/\/kpw.law\/en\/top-position-through-center\/","title":{"rendered":"Top position through center"},"content":{"rendered":"\n<div class=\"wp-block-group alignfull v4-pattern-hero v4-pattern-hero--post is-style-background-blend is-style-arrow has-global-padding is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-cover alignfull is-light v4-pattern-hero__cover\" style=\"padding-top:var(--wp--preset--spacing--80);padding-bottom:var(--wp--preset--spacing--80);min-height:75vh;aspect-ratio:unset;\"><img data-dominant-color=\"34d6d4\" data-has-transparency=\"false\" style=\"--dominant-color: #34d6d4;\" loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"585\" sizes=\"auto, 100vw\" class=\"wp-block-cover__image-background wp-image-32779 size-large not-transparent\" alt=\"Spitzenstellung durch Zentrum, Marktf\u00fchrer, Arzt, Referenzzentrum, Penisvergr\u00f6\u00dferung, Wettbewerbsrecht, Vorher-Nachher, Rechtsanwalt\" src=\"https:\/\/kpw.law\/wp-content\/uploads\/Spitzenstellung-durch-Zentrum-1024x585.jpg\" data-object-fit=\"cover\" srcset=\"https:\/\/kpw.law\/wp-content\/uploads\/Spitzenstellung-durch-Zentrum-1024x585.jpg 1024w, https:\/\/kpw.law\/wp-content\/uploads\/Spitzenstellung-durch-Zentrum-300x171.jpg 300w, https:\/\/kpw.law\/wp-content\/uploads\/Spitzenstellung-durch-Zentrum-768x439.jpg 768w, https:\/\/kpw.law\/wp-content\/uploads\/Spitzenstellung-durch-Zentrum-1536x878.jpg 1536w, https:\/\/kpw.law\/wp-content\/uploads\/Spitzenstellung-durch-Zentrum-2048x1170.jpg 2048w\" \/><span aria-hidden=\"true\" class=\"wp-block-cover__background has-base-background-color has-background-dim-0 has-background-dim\"><\/span><div class=\"wp-block-cover__inner-container has-global-padding is-layout-constrained wp-block-cover-is-layout-constrained\">\n<div style=\"height:5em\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-group alignwide has-global-padding is-content-justification-left is-layout-constrained wp-container-core-group-is-layout-1d4b5d69 wp-block-group-is-layout-constrained\" style=\"margin-top:0;margin-bottom:var(--wp--preset--spacing--80);padding-top:var(--wp--preset--spacing--60)\">\n<div class=\"wp-block-group has-global-padding is-layout-constrained wp-container-core-group-is-layout-19e250f3 wp-block-group-is-layout-constrained\">\r\n<h1 id=\"multirow-headline-block_291cdcdfc70700fae1e3516190b015d8\" class=\"wp-block-visual4-multirow-headline\">\r\n    <div class=\"wp-block-visual4-multirow-headline\">\n\n<p style=\"margin-top:0;margin-bottom:0;margin-left:0%;padding-top:0;padding-bottom:0;font-size:clamp(3.195rem, 3.195rem + ((1vw - 0.2rem) * 5.342), 6.4rem);font-style:normal;font-weight:1000;line-height:1;text-transform:uppercase\">Top position <\/p>\n\n\n\n<p class=\"has-text-align-left has-huge-font-size\" style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:15%;padding-top:0;padding-bottom:0;font-style:normal;font-weight:1000;line-height:1;text-transform:uppercase\">infringement through<\/p>\n\n\n\n<p class=\"has-contrast-color has-text-color has-link-color has-gigantic-font-size wp-elements-99e5eff992606a5f3785abf06d9e9d20\" style=\"margin-top:0;margin-bottom:0;margin-left:0%;padding-top:0;padding-bottom:0;font-style:normal;font-weight:1000;line-height:1;text-transform:uppercase\"><span class=\"v4-marker-highlight-background\">Center<\/span><span class=\"v4-marker-highlight-background\">.<\/span><\/p>\n\n<\/div> \r\n<\/h1>\n\n\n<div class=\"wp-block-group has-small-font-size is-nowrap is-layout-flex wp-container-core-group-is-layout-76c96157 wp-block-group-is-layout-flex\" style=\"margin-top:var(--wp--preset--spacing--20);margin-bottom:0;padding-top:0;padding-bottom:0;font-style:italic;font-weight:300;text-transform:uppercase\"><div style=\"font-style:italic;font-weight:300;text-transform:uppercase;\" class=\"wp-block-post-date has-small-font-size\"><time datetime=\"2026-05-05T09:00:00+02:00\">5. May 2026<\/time><\/div>\n\n\n<p>from<\/p>\n\n\n<div style=\"font-style:italic;font-weight:600;\" class=\"wp-block-post-author-name\">Clemens Pfitzer<\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group alignwide has-global-padding is-content-justification-left is-layout-constrained wp-container-core-group-is-layout-c93ec0be wp-block-group-is-layout-constrained\">\n<p><strong>Can a medical practice advertise on the Internet that it is the &#8220;market leader&#8221; or &#8220;reference center&#8221; for penis enlargement? And what about before and after pictures that are supposed to show the effects of a surgical procedure? <\/strong><\/p>\n<\/div>\n<\/div>\n<\/div><\/div>\n<\/div>\n\n<h2 class=\"wp-block-heading\" id=\"h-eine-praxis-viele-grosse-versprechen\"><strong>One practice, many great promises<\/strong><\/h2>\n\n<p>The proceedings focused on the internet advertising of a medical practice for phalloplastic surgery. The practice presented itself on several websites as the &#8220;German Center for Urology and Phalloplastic Surgery&#8221;. It advertised with terms such as &#8220;market leader&#8221;, &#8220;competence center&#8221; or &#8220;reference center&#8221;, quoted impressive operation figures and showed before and after pictures of penis enlargements.  <\/p>\n\n<p>A competitor who also offers penis enlargement took legal action against this. The Frankfurt Regional Court had already largely upheld the claim. The Higher Regional Court of Frankfurt am Main confirmed this result on appeal in its ruling of 19.03.2026 &#8211; Ref. 6 U 332\/24 and even extended the injunctive relief to an additional point.   <\/p>\n\n<h2 class=\"wp-block-heading\" id=\"h-was-steckte-wirklich-hinter-dem-zentrum\">What was really behind the &#8220;center&#8221;?<\/h2>\n\n<p>The court found that the &#8220;center&#8221; mentioned in the advertisement did not exist. In fact, an individual doctor carried out the procedures in his own practice. The Irish company acting as the operating company only provided marketing and secretarial services. It had neither its own practice premises nor medical staff and had no contractual relationship with the operating doctor.   <\/p>\n\n<p>One of the websites also used photos of doctors who appeared to be members of the center. In fact, in at least one case it was a purchasable stock photo of a man with a stethoscope. According to undisputed findings, the doctor depicted did not exist.  <\/p>\n\n<div class=\"wp-block-group v4-pattern-general-quote-box has-kpw-yellow-background-color has-background has-global-padding is-layout-constrained wp-block-group-is-layout-constrained\" style=\"margin-top:var(--wp--preset--spacing--60);margin-bottom:var(--wp--preset--spacing--60)\">\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\" style=\"padding-right:var(--wp--preset--spacing--70);padding-left:var(--wp--preset--spacing--70)\">\n<p>According to the files, at no time was there an established organization which, from the point of view of the relevant public, could be regarded as a (medical) center in the sense of the contested designation, for which only one doctor would have worked.<\/p>\n<\/blockquote>\n<\/div>\n\n<h2 class=\"wp-block-heading\" id=\"h-irrefuhrende-spitzenstellungswerbung-warum-marktfuhrer-hier-nicht-gilt\">Misleading top position advertising: Why &#8220;market leader&#8221; does not apply here<\/h2>\n\n<p>Anyone who advertises a leading position on the market &#8211; be it as &#8220;market leader&#8221;, &#8220;leading specialist in Europe&#8221; or &#8220;competence center for 25 years&#8221; &#8211; must actually hold this position and be able to prove it in the event of a dispute. The OLG Frankfurt a. M. has confirmed that all statements of this kind are misleading. <\/p>\n\n<p>This was true even if the doctor performing the operation was personally one of the most experienced surgeons in his specialty in Germany. This was because the advertising did not refer to him personally, but to the alleged &#8220;center&#8221; &#8211; and such a center did not exist. The market leadership of a center cannot be based on the performance of a single doctor in his individual practice.  <\/p>\n\n<p>The court also did not consider the alleged special surgical technique with which the practice claimed to be &#8220;leading&#8221; to be substantiated. The medical practice did not succeed in substantiating a method that could be distinguished from other surgeons. <\/p>\n\n<h2 class=\"wp-block-heading\" id=\"h-vorher-nachher-bilder-was-das-heilmittelwerbegesetz-dazu-sagt\">Before and after pictures: What the Medicinal Products Advertising Act says about it<\/h2>\n\n<p>A second central point of contention concerned before-and-after images that were used on the websites to show the results of penis enlargement operations. The Frankfurt Higher Regional Court confirmed that these images violated the <a href=\"https:\/\/kpw.law\/rechtsgebiet\/wettbewerbsrecht\/\" id=\"197\">Medicinal Products Advertising Act (HWG)<\/a>. <\/p>\n\n<p>This law prohibits the advertising of surgical plastic surgery procedures to alter the human body without medical necessity with comparative depictions of the condition before and after the procedure. An exception applies if it is clear from the advertising itself that the procedure is medically indicated. <\/p>\n\n<p>This is exactly what was missing here. The medical practice had claimed that all the procedures were medically indicated. However, they were unable to explain what medical indication the specific procedures shown were based on, and the advertising itself did not contain any information on this either. In addition, the costs of the procedures were not reimbursed by either statutory or private health insurance companies, which argues against medical necessity.   <\/p>\n\n<p>The fact that the images were pixelated &#8211; allegedly for anonymization reasons &#8211; did not change the legal situation. The court emphasized that what matters for interested parties is whether a difference is recognizable &#8211; and it was. <\/p>\n\n<div class=\"wp-block-group v4-pattern-general-quote-box has-kpw-yellow-background-color has-background has-global-padding is-layout-constrained wp-block-group-is-layout-constrained\" style=\"margin-top:var(--wp--preset--spacing--60);margin-bottom:var(--wp--preset--spacing--60)\">\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\" style=\"padding-right:var(--wp--preset--spacing--70);padding-left:var(--wp--preset--spacing--70)\">\n<p>The purpose of protection [&#8230;] is to curb unobjective influences through potentially suggestive and misleading advertising for medically unnecessary interventions, to protect the freedom of choice of affected persons and to prevent these persons from exposing themselves to unnecessary risks that could endanger their health.<\/p>\n<\/blockquote>\n<\/div>\n\n<h2 class=\"wp-block-heading\" id=\"h-was-bedeutet-das-fur-arztpraxen-und-kliniken\"><strong>What does this mean for medical practices and clinics?<\/strong><\/h2>\n\n<p>Designations such as &#8220;center&#8221;, &#8220;competence center&#8221; or &#8220;reference center&#8221; presuppose a corresponding organizational reality. A single doctor in an individual practice does not meet this requirement. Claims of a leading position such as &#8220;market leader&#8221; must be objectively verifiable and refer to the actual advertising unit, not to individual persons involved.  <\/p>\n\n<p>Before-and-after images for plastic surgery procedures are generally prohibited unless the medical indication is recognizable from the advertisement itself. Pixelated or otherwise altered images also fall under the ban, provided the before and after comparison is still recognizable. <\/p>\n\n<h2 class=\"wp-block-heading\">Conclusion<\/h2>\n\n<div class=\"wp-block-columns v4-pattern-text-copy-half-col is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p>Anyone who advertises for patients on the Internet with superlative terms or impressive image comparisons is exposing themselves to considerable legal risks &#8211; especially if the advertised market position cannot be substantiated.<\/p>\n\n\n\n<p>Doctors should also be aware that advertising with before and after pictures for non-medically necessary plastic surgery procedures is not permitted. Even pixelation does not help. If you want to refer to a medical indication, you should be able to prove it.  <\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/div>\n<\/div>\n\n<div class=\"wp-block-group alignwide has-global-padding is-layout-constrained wp-block-group-is-layout-constrained\" style=\"margin-top:var(--wp--preset--spacing--80);margin-bottom:var(--wp--preset--spacing--80)\">\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-group alignwide v4-pattern-cta-box has-secondary-background-color has-background has-global-padding is-layout-constrained wp-container-core-group-is-layout-a7c0d175 wp-block-group-is-layout-constrained\" style=\"padding-top:0;padding-right:0;padding-bottom:0\">\n<div class=\"wp-block-columns alignwide are-vertically-aligned-top v4-pattern-cta-box__columns is-layout-flex wp-container-core-columns-is-layout-ec2e7a44 wp-block-columns-is-layout-flex\" style=\"padding-top:0;padding-bottom:0\">\n<div class=\"wp-block-column is-vertically-aligned-top v4-pattern-cta-box__columns-column is-layout-flow wp-container-core-column-is-layout-bce6ca70 wp-block-column-is-layout-flow\" style=\"padding-top:var(--wp--preset--spacing--50);padding-bottom:0;flex-basis:60%\">\n<div class=\"wp-block-group alignwide has-global-padding is-content-justification-right is-layout-constrained wp-container-core-group-is-layout-5c12a1d1 wp-block-group-is-layout-constrained\">\r\n<div id=\"multirow-headline-block_af81704632fbf0683f9b466f9573a061\" class=\"wp-block-visual4-multirow-headline alignwide\">\r\n    <div class=\"wp-block-visual4-multirow-headline\">\n\n<p class=\"has-text-align-left has-huge-font-size\" style=\"margin-top:0;margin-bottom:0;margin-left:0%;padding-top:0;padding-bottom:0;font-style:normal;font-weight:1000;line-height:1;text-transform:uppercase\">We are happy to<\/p>\n\n\n\n<p class=\"has-text-align-left has-x-large-font-size\" style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:8%;padding-top:0;padding-bottom:0;font-style:normal;font-weight:1000;line-height:0.9;text-transform:uppercase\">advise you about<\/p>\n\n\n\n<p class=\"has-text-align-left has-huge-font-size\" style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0%;padding-top:0;padding-bottom:0;font-style:normal;font-weight:1000;line-height:0.9;text-transform:uppercase\">Competition law!<\/p>\n\n<\/div> \r\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group is-nowrap is-layout-flex wp-container-core-group-is-layout-5c3c14bb wp-block-group-is-layout-flex\" style=\"margin-top:var(--wp--preset--spacing--30);margin-bottom:var(--wp--preset--spacing--30)\">\r\n\r\n<div class=\"wp-block-visual4-contact-modal__button\">\r\n            \r\n        <div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\r\n            \r\n\r\n<div class=\"wp-block-button v4-contact-modal-button is-style-fill\" style=\"font-style:normal;font-weight:600\" data-form-id=\"8\"><a class=\"wp-block-button__link has-contrast-color has-base-background-color has-text-color has-background has-link-color wp-element-button\">Contact form<\/a><\/div>\r\n\r\n        <\/div>\r\n        \r\n    <\/div>\n\n\n<div class=\"wp-block-buttons is-style-mobile-only is-content-justification-left is-layout-flex wp-container-core-buttons-is-layout-fc4fd283 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-arrow is-style-fill\"><a class=\"wp-block-button__link has-base-background-color has-background wp-element-button\" href=\"tel:4971141019030\" style=\"padding-right:var(--wp--preset--spacing--50);padding-left:var(--wp--preset--spacing--50);font-style:normal;font-weight:600\">Call now!<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top v4-pattern-cta-box__columns-column v4-pattern-cta-box__columns-column--image is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:40%\">\n<figure class=\"wp-block-image size-full v4-pattern-cta-box__columns-column__image\"><img decoding=\"async\" src=\"https:\/\/kpw.law\/wp-content\/themes\/kpw-law\/assets\/samples\/person-cropped.png\" alt=\"\" class=\"wp-image-23155\" \/><\/figure>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Anyone who advertises as a &#8220;market leader&#8221; or &#8220;reference center&#8221; must be able to prove this. This also applies to the medical indication for before and after images. <\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[4904,1],"tags":[5636,5639,6425,5336,6424,5363,6423,5635,5637,5153,5357,5364],"thema":[],"rechtsgebiet":[4987],"produkt":[],"class_list":["post-32782","post","type-post","status-publish","format-standard","hentry","category-general","category-unkategorisiert","tag-advertising-of-remedies","tag-before-after","tag-center","tag-doctor","tag-market-leader","tag-medical-practice","tag-medical-services","tag-medicinal-products-advertising-act","tag-prohibition-of-advertising-under-pharmaceutical-law","tag-therapeutic-products-advertising-law","tag-top-position","tag-top-position-assertion","rechtsgebiet-competition-law"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.5 (Yoast SEO v27.5) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Top position through center for penis enlargement<\/title>\n<meta name=\"description\" content=\"Anyone who advertises as a &quot;market leader&quot; or &quot;reference center&quot; must be able to prove this. 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