When something “is about getting the sausage” in German, that means that it’s something that really matters. You know, like when size matters?
With an estimated total 15,414 cases of the procedure worldwide, nearly one in five of all penis enlargement operations were performed in Germany.
Observing Hermann 
Presumably, when the OPs go wrong, it’s a big cock-up?
And that would be awful for the members of the medical profession, too, Stu. When patients get the shaft like that, I mean.
Figure most of these OPs are done for long-text-tatooing, putting on something like “Ruhm und Ehre der Bayrischen Flotte” or “Stell Dir vor es ist windig, aber keiner geht hin und baut einen Windpark”.
Widespread schwanznied? Who knew?