I too have a silicon prosthesis (they last about 2 years, I am on my second) and find it easy and simple. I know some people in tropical climates seem to find them hot but I have never had a problem (was recently in 38 degree Spain and hot and humid Singapore). Bra with a pocket, no slipping, either out or sideways. Wash like you wash your body. After a couple of years they get a bit wrinkly, the cost (I also paid $400) is rebatable. Every two years too. I got mine fitted at home, also could choose bra options at home too. I won't have a reconstruction - I wasn't keen from the start, had a long term seroma so wary of more surgery and I don't think I need one. I am comfortable with how I look, a big test was a communal wash room before a hot spa in Iceland last year. Icelanders don't fuss and I felt utterly comfortable in my natural lop sidedness. Everyone has different wants and needs, but I am happy with my prosthesis.