1. **Prepare the Pump:** Before using the Maxi Red Penis Pump, ensure all parts are clean and assembled correctly. The cylinder should be attached to the pump handle, and the kink-resistant hose should be securely connected.

2. **Apply Lubricant:** Apply a water-based lubricant to the base of the penis to create a better seal and make the process more comfortable.

3. **Insertion:** Insert your penis into the cylinder. Ensure that the base of the cylinder is flush against your body to create a tight seal.

4. **Start Pumping:** Slowly start pumping using the ergonomic handle. This will create a vacuum inside the cylinder, causing blood to flow into the penis.

5. **Monitor Pressure:** Keep an eye on the pressure gauge. Do not exceed a comfortable pressure level. If you feel any discomfort, use the quick-release valve to immediately reduce pressure.

6. **Maintain Pressure:** Once a comfortable level of pressure is achieved, maintain this for approximately 20 minutes. You can disconnect the hose from the cylinder and it will maintain the vacuum.

7. **Release:** After 20 minutes, slowly release the pressure using the quick-release valve. Do not remove the pump abruptly as this can cause discomfort.

8. **Clean:** After each use, clean the pump and cylinder with warm water and mild soap. Allow all parts to air dry completely before storing.

Remember, it’s important to start the pumping process slowly to avoid discomfort. The penis should look swollen but should not hurt. If you experience any pain, stop using the pump immediately and consult with a healthcare provider.

Please note that results may vary and this product should not be used as a substitute for professional medical advice. Always consult with a healthcare provider if you have any concerns.