Having a mastectomy is a very personal decision it impacts your self-esteem and it can impact your relationship. I had a mastectomy 13 years ago and I don't regret it for a minute my husband has been wonderful but it really needs to be a joint decision . I made the decision to have an implant because it was a less invasive by surgery has worked well for me. One thing it does do is remove the stress that will come back in the breast. I would suggest that you and husband talk to a cancer council councillor to talk through the realities of intimacy with a reconstruction. It has been no issue for my relationship but I know it is for others. Don't be afraid just be informed. You will make the decision that is right for you. Take care