"Get an Ultrasound First"

About pain after the surgery, they wrote that there was no pain, only something like stiffness. That was their case. Pain differs greatly with the amount and firmness of the tissue removed, the extent of the surgery, and one's usual sensitivity to pain. Some people are left with a pulling sensation for several days. So before surgery I do not tell people it will not hurt; instead I explain when and how much discomfort may come, and what we use to manage it at that point.

When I asked what stayed with them from the surgery, they wrote this.

"It was my first time under anesthesia, so it was a unique experience. When the anesthetic went in I felt a warm sensation, and then the surgery was over."

Gynecomastia surgery is performed under sedation. Some people briefly feel warmth along the vein as the medication goes in, and after that they stay asleep until the surgery is over. The anesthesiologist takes charge of the anesthesia and checks the patient's condition throughout the surgery, and I, as the operating surgeon, enter the operating room after the anesthesia has taken effect.

About the clinic's atmosphere, they wrote that it was quiet and calm, and that the consultation staff and the front-office staff were kind. They also mentioned that the documents for submission were well prepared, which made filing the insurance claim easy. However, the decision depends on the policy they hold and its terms, so the clinic cannot promise whether a payout will be made. What we do extends only to issuing the diagnosis and surgical details accurately, as recorded.

Whether gynecomastia surgery is covered by national health insurance is judged by the condition and grade of the glandular tissue. It is not determined by visible size alone; we look at the ultrasound findings and the examination together.

To others with the same concern, they wrote this.

"Many of you are probably worried about the cost of treatment, but insurance applies from a certain size up, so get an ultrasound first"

You do not need to decide whether to have surgery before you come. Confirming what condition you are in and deciding on surgery are separate matters, and in order, the confirmation comes first.

This was someone who wrote that they wanted to stand tall with their chest out when they got dressed.