I had a mastectomy on the left. I was never offered a double. I had to wait 2 years before reconstruction. It was a long wait, but reconstruction has been the best decision I have made. I hate mammograms, but i love having some sensation in the right breast and the appearance of being myself again. It’s been about 4 years so far and i’m happy with the results. I can totally understand why some women have them both removed. The issue for me at the time was increased pain and looking back drainage tubes on both sides must be a nightmare.