I completely agree with you that the medical staff are trying to use the least intervention as possible. At 37 I was diagnosed with her+ and a month later after the MRI and bone scan I was told I was stage 4. My oncological surgeon only wanted to do a lumpectomy after ACT. It was mental anguish to wait 8 months for surgery. I knew I could not deal with the constant monitoring and begged her for a DMX. It was a fierce negotiation but she agree to only do one breast and leave the other. Luckily, my plastic surgeon agreed and talked the oncological surgeon into doing both. I do not miss my breast and am very happy with my decision.