It's not a for sure thing...I still waffle about it now and then. The problem is, I don't care if I'm flat chested or not, that's not the problem. The problem is I have small amount of tissue that gets squished down and outward by my pecs as they grow. I have two giant squares on my chest (pecs) with a small amount of "tissue" at the bottom outer quadrant...the only "boobage" I've got. It looks more like a man with gyno than a flat chested woman. Flat wouldn't be so bad, but this almost looks like a malformation. I would expect any man with gyno, or a woman who has had a mastectomy and is left with saggy skin and nipples, would want to undergo surgery. My two main considerations are sprinting and benching. I figure if Jill Mills can sprint/bench/roll atlas stones up her massive chest, I can too.