Hi Mic80, I have so far chosen to remain flat following double mastectomy in Oct 2016. My choice was heavily influenced by the amount of time I would have to dedicate to surgery and recovery in order to have a recon. As recon was not an option at the time of DM, by the time I was physically able to get a recon I was quite used to being flat, and don't mind it. Of course I still miss my breasts - however that is a different issue to my choice to remain flat. I am mostly very comfortable with my choice - there are positives [especially living in a hot climate], however getting used to dressing with no breasts [my choice is to not use any prosthetic breast forms] can be a rollercoaster. I have found that the longer I remain flat - the more at ease I have become with my shape. I love fashion - so finding new styles to suit my shape is sometimes tricky. However it does get easier. A great thing to remember is that no choice needs to be forever. Best wishes, Tamra