First off there is a big difference B/W the two. I had the entire gland removed due to a serious case. Most guys will just have the tissue removed and maybe some lipo to even things out. In any case, I can no longer get gyno cause my glands are gone which is good and bad. Good because no more gyno ever. Bad, because I tend to not use enough anti E's as I should sometimes. The major thing for you is to see a good QUALIFIED PLASTIC SURGEON, nobody else, especially a general surgeon unless you want a lousy result and horrable results. As large as mine were, my plastic surgeon even took before and after pics to keep. You cant tell I ever had anything done. Your Dr will be the one making the decision though on which way to approach this. Not you. Hopefully your insurance will cover it like mine did also cause it can get quite expensive. Good luck and keep us posted.