Mcm5 sorry to hear of your diagnosis. I had a mastectomy January 2018 after a diagnosis of Inflammatory Breast Cancer. Because this is a very aggressive cancer, and very likely to metastasise, I was told that a reconstruction would be delayed for a year. I said that was fine as I didn't want a reconstruction, and would prefer to go flat. The surgeon was very pressing and said she would do my other one too, so I would have a matching pair. I declined, and was rather dismayed to find they'd left me with a flap on one side, in case I should change my mind. Could have made a fuss, but didn't. The mastectomy & lymph node clearance took 2 hours, and I had only paracetamol (the anaesthetist had done a very good 'regional block' which carried me through to the next day with no pain. I am grateful to have been discharged as a NED "No Evidence of Disease" after 5 years. I wear a silicone prosthesis in my bra, and it's very comfortable. I don't think anyone can tell the difference. If I'd had a reconstruction, that would have been hours of further surgery, and would have disfigured another part of my anatomy. Why bother? The Breast Care Nurses were full of "Oh, you will suffer changes to your body image and you will mourn the loss of your womanhood". Absolute nonsense! Of course, I would rather not have had to have a mastectomy, but I'm glad to be alive 5 years later. The only thing I mourn is not being able to tuck a towel into my cleavage after a shower! I'm sure that there are many women who feel bereft of their lost boob, but tbh, I've seen a few 'reconstructions', and they are no way the same as the home-grown variety, and you don't get proper/any sensation in them. Who are you going to show them to anyway? Is it really worth it? It's up to you, but don't be pressurised by an over-enthusiastic surgeon or other people's expectation. Good luck.