@jane84 I disagree, I don't think most people jump straight to a mastectomy at all. It really is dependent on their situation and diagnosis. I was only ER+ BRCA 1 & 2 negative and no node involvement. I had a mastectomy/diep flap recon 1yr after treatment as preventative, and only because I had a recurrence. There's so many factors to sift through in your own personal situation. The genetic counselors were so great, their recommendation was exactly as I thought. They also said the risk of anything in my other breast is like the normal population as they are unrelated. I wasn't going to get rid of them both to be honest for peace of mind, it was a very traumatic decision to get there. I'm happy with the way I look now but its been a long hard road, massive surgery. I still believe the path I chose was one I could cope with, the lumpectomies were more than enough. I know though when I look at what happened to me I would have chosen surgery over chemo, thats my only hindsight moment. Its a tough one, but don't jump into anything go slow, do your homework and really work with your Specialists with your diagnosis to get a full understanding of it and what it means moving forward. x