One other thing to consider about surgery is that it will leave a hole where the glands used to be and that will give you loose skin that will suck unless you get the plastic surgeon to fix that as well. I know, the VA took out some lumps and didn't call down the plastic surgeon. They promised to make sure my nips and such remained flat, but when I woke up they were puffy with some loose skin. And they left some glands in that are still sore. I don't take my shirt off in public and it is gonna cost my 4500 to get it fixed correctly.