I have only just been diagnosed in late august....im scheduled for a wide excision on the 23rd of oct and node pathology. so everything to me is up in the air at the moment...ive been through most of reconstruction options and will hopefully have bilateral mastectomy with tram flap procedure...may not look the best (i dont care). But I just need that closure...and that is what it means to me. I have had many comments from people that do not have cancer....its upsetting to think that they can say something like "if it were me i would have a mastectomy and no reconstruction" walk in out shoes then tell me what you would do....its a personal journey with decisions not taken lightely.