I am considering fordyce spot removal with CO2 laser on the penis. Will this procedure leave scars and are there better options?

This is treated in the office easily with laser, plasma pen or needle desiccation. However, there is no cure. Sometimes they come back after treatment and sometimes they do not go away. Penile pearly papules always respond typically in 2 treatments with permanent cure, but fordyce spots will need ongoing treatment or you try 1-2 treatments and if they do not go away or recur, you will have to retry treatment. These are genetic sweat glands. You MUST pretreat the area with skinceuticals phyto plus+, emerageskin aox-c, reve skin retinol 1.0 or sente biocomplete serum, reve skin fortified bleaching cream or cosmelan 2 cream to prevent hyperpigmentation and any discoloration. After which we give antageMD serum + accelerator, silagen gel, and emerageskin REFIT face to help heal more quickly with LED red LIGHT STIM (see links). Best, Dr. Emer.

Fordyce spots are a common skin condition that appears as small, raised, pale or white spots on the skin. They are caused by sebaceous glands, which produce oil, and are usually harmless and non-cancerous.
CO2 laser treatment is one of the options available for removing Fordyce spots. This procedure involves using a high-powered laser to vaporize the top layer of skin where the Fordyce spots are present. CO2 laser treatment can be effective in removing Fordyce spots, but it may cause scarring and pigmentation changes in some cases.
Other treatments for Fordyce spots include topical retinoid creams, electrocautery, cryotherapy, and chemical peels. The choice of treatment depends on the severity of the condition and the patient's preferences.
The cost of Fordyce spot removal varies depending on the chosen treatment and the location of the treatment facility. The cost can range from a few hundred to a few thousand dollars.
Once again, I recommend that you discuss your concerns and treatment options with a licensed healthcare professional who can evaluate your specific case and recommend the best course of action.

Best of luck !