It is clear that from a medical perspective, the fact we have a hormonal environment that leads to fleshy chests is not a problem. The problem is we're often very unhappy with our situation and want to change it. Yes, we can pursue hormone replacement therapy to increase testosterone but as you note, that won't remove breasts already developed. Insurance companies aren't inclined to pay for breast implants or to reduce the size of someone's nose, so performing what is essentially a mastectomy on men who don't have cancer is not covered. We understand that our hormone balance can be affected by drugs we take but beyond that it is really what nature has provided us. We all sit on a gender continuum from feminine to masculine. It seems those of us who develop breasts are on the more feminine side of the continuum. That is what estrogen does for us... This is much discussed on the Acceptance side of this website. Many of us have softer, more curvaceous bodies. Removing breasts won't change that and as we've learned, surgery can potentially create other problems and isn't guaranteed to keep us from developing breasts as we age. The Mayo Clinic, in discussing gynecomastia lists "aging" as one of the causes. So we all have a decision to make... pay a great deal of money to pay for a mastectomy or learn to accept the bodies nature has given us. Good luck sorting it all out.