My diagnosis was very similar (I had just turned 46). I think the chemo/surgery order is decided by your oncologist. In my case surgery came first and the outcome of that determined that I needed the chemo (it had spread to lymph nodes). So sometimes they learn more after looking at the removed tissue that helps them determine whether/how much chemo is needed. If you are triple negative I am pretty sure chemo comes first. Anyway, I bet you'll have that answer as soon as you meet with an oncologist. As far as removing the healthy breast, there is no right answer there - only the one you decide you can live with. I've heard of people keeping the healthy breast and then changing their mind and removing it later because the scanxiety got to them or they felt lopsided/mismatched. Worth asking insurance if that is allowed (a delayed removal of the healthy one). I decided to have aesthetic flat closure so removing the healthy one meant I could be symmetrical. I am glad I don't have to go in for mammograms/breast MRIs anymore. Best of luck to you.