Growing up in my house all we had was junk food, sugary cereal, etc. I was a latch key kid too. That combination turned me into a fat-fuckin'-little-porker from the ages of lets say 8 to 12ish. Fast forward to high school and you could never tell I was a fat kid. I was just shy of 6'1" when I joined the military and I weighed 174 pounds. When I started taking this seriously I was 26 and having a conversation with a guy who was into bodybuilding. All the big local guys had something in common: they were impressive physically and they could breast feed. I decided right then and there that look was unacceptable, decided I was going to walk the left hand path, and that this preemptive measure was necessary since I was being honest with myself. I go to a plastic surgeon he takes a look and tells me everything looks fine and that I really didn't need to do it but he couldn't say no to $4,000.
After the surgery he tells me it turns out I did have some tissue but not much and only on one side and that I did the right thing because I told him what my plans were.
I never had a knot or a pain in my nipples a day in my life either. All the guys that had gyno still have it and it looks fucking awful IMO. It definitely gets larger over time and you need to take serms, anti estrogens, etc to combat it and if there's one thing you dont want to be doing if you value your health it's tank your E2. I dont know how some guys have the "it is what it is mentality" with gyno when they're willing to inject $100,000 or more in PEDs over a lifetime.
You can count me as +1 if you want the surgery. I have zero regrets.