When I said I wanted mastectomy over the recommended lumpectomy the doctors said that a mastectomy is a major surgery and probably not necessary. My thought was that I am the fittest and youngest I'm ever going to be NOW so do the invasive hard surgery now not 10 years down the line. They said mastectomy does not increase survival rate, which doesn't make sense to me. My thoughts are get rid of as many cells as possible in surgery and those cells won't come back to haunt me. Obviously, they could have already traveled elsewhere in the body but those in my chest are gone!