@prc3 again you have a legal right to symmetry. You can tell the surgeon you want a double mastectomy. If the surgeon has health concerns for you, you can have them done separately.

I’m just remembering what the female radiologist who did my breast biopsy said. She was probably in her 50s. She worked in the breast center so lots of experience with breast cancer patients. I didn’t even know yet about my BRCA mutation. I asked her what she would do if she had breast cancer. She had obviously given it a lot of thought and said without hesitation, “If I found out I had any stage of breast cancer, I would go straight to a double mastectomy. Why fool around with it? I just want to be around for my family. But that’s just me.”

I also remember what the lady who fitted me for my breast prostheses said. She said I made the right decision with a double mastectomy because most of her clients who had a single complain the prosthetic breast and the real one never match and it shows through clothes. Most wish they had had a DM just for symmetry. My cousin who had a single mastectomy told me she was frustrated with that issue and advised me not to have a single plus her reconstruction had complications and was a fail. There are likely some women happy with a SM as well. I had a colleague who had an DM in her 30s and her reconstruction had complications and failed. I have another friend who had a DM in her 30s and said her reconstruction was a breeze and she’s glad she had it. She’s 70 now and doing great. If you consider reconstruction, ask women for their experience with that as well. Ask the surgeon about possible complications and the success rate.