@mswendeu You're welcome- I get you; my sentiments exactly! BTW in the US if your lifetime risk is 20% (bar for high risk classification) or more you are legally entitled to a prophylactic mastectomy. A prophylactic mastectomy might not be immediately offered because our medical practitioners take the Hippocratic oath (do no harm, etc.) and removing a currently healthy breast is thought to be contrary to the oath. This is why breast conserving surgery is promoted first. I believe all surgeons know at 20% you are entitled, they just don't offer - and this is where/why self-education is important. So remember if it is not on the table you can ask why not - further you are entitled to second opinion or to find a surgeon who will perform the surgery.

Also, please be aware there is some evidence that duration of life is not much different between those who have a lumpectomy, or lumpectomy with adjuvant care, versus a prophylactic mastectomy. While some studies may demonstrate little difference these studies do not address mental health aspects from/of treatment. For many of us the goal is to be alive but not just solely physical existence - we want to be empowered to live our best lives possible and on our terms. For some of us, that best life may be without breasts -and/or reduced worry of cancer recurrence. Good luck with your decisions -and please keep us posted on you journey!