@lmcintosh , I had my non-cancer breast removed as well and as it turned out it was full of cysts and also undiscovered atypical dysplasia. We have a legal/insurance right to symmetry. I did one at a time because I have lupus and my docs wanted to see how I did with one before doing the other, but many women do both at once. I went "flat" with no reconstruction. The surgeries were not bad at all. (I had a paracervical block which meant I did not need pain meds at first.)