I have had the surgery. I did it through a genral surgeon not plastic so no Lipo. From what I am told the only way for sure to not worry about it coming back is to remove the whole gland. This can pose an issue in that if they take the whole gland it can leave an indintation were the gland was. I have never had reoccurance but I stay away from any Aromitizing gear any higher Androgenic . I only feel safe doing Anavar. I am told Primo is safe but I won't take any chances cuz gyno SUCKS! Good luck man.