If you have had stable gyno for 5 years w/o any changes, it is probably not going away, and you should start considering the merits of surgery. I would set up a consult w/ a plastic surgeon that you feel comfortable with and proceed from there. It probably isn't necessary to see an endo if your problem has been stable for 5 years, but ask your PS if he reccomends you do. As for deciding on a surgeon, many good ones post on this site, and by looking at other doctors websites in your area, you can get an idea if this is a common procedure for them and compare before/after pics. Being board-certified in PS is the first thing you should look at a fundamental level, and then consider how commonly they perform gyno operations and what the before/after results look like. One thing to be skeptical of is a plastic surgeon who tells you up front they will only do lipo and/or that they remove gland using lipo only and that excision is not necessary...good luck