I was just diagnosed 3 months ago with invasive ductal carcinoma and had to make the same choice...I had a bilateral masectomy with reconstructive surgery at same time...have phase 2 coming up in June. My decision was determined because of a very strong family history.. and I have never looked back..had hyperplasia cells in other breast as it turned out.My family and friends whom had cancer prior were a huge factor in my decision...it is different having implants but really...It was not a terrible surgery at all! But having said this, like so many have said...everyone is different and you have to do what feels.best for you...we are so blessed for the medical care we have available now compared to 10 years ago!