Just my belated two cents, from an old (53) guy, who still hasn't had the surgery but is considering it.
One of the reasons I didn't have the surgery (and I have a moderate case) is because it never stood in the way of getting women, Both my wives didn't care, and before and in between the wives, I "dated" more than 200 others. No, I'm not rich. I did have a GF when I was like 20 who said, that if it wasn't for my chest I would be a perfect physical specimin. Oddly, I took that as a complement. So, in other words, I never lacked confidence with women. At all. Women, at least until recently, just don't objectify that much and are more sensitive about making negative comments about physiques. I think I only her one other comment from a woman my whole life, and that was one of genuine surprise, not a joke or put down.
But with guys -- another story. Had some manageable high school and twenty-something teasing on occasion. But that's it. Until recently.
It seems that the public today, often strangers, now find it completely funny and not improper or rude to make fun of 'Moobs' in public, on TV, in movies, right in your face sometimes. It's sort of like bald guys 30 years ago. (But now bald, especially shaved, is accepted. Ironic.) Perhaps the younger generation of women do this know, too; I wouldn't know.
In the past six or seven years, I got to tell you, I have walked onto a beach a couple of times, in a club (won't say what kind) a couple of times or just had too tight a shirt on, and guys, strangers, have openly and witlessly mocked me. I could be missing an arm, an ear, have a "wine stain" birthmark all over my face and they wouldn't say a word. But man boobs? Suddenly, every one is Seinfield. It's amazing. Twenty or thirty years ago, no one would have said anything or looked the other way or snickered discreetly. But all this coverage in the media, much of it humorous, had put a bulls eye on guys with gyne. Because of this, for the first time in my long life I am considering the surgery. Maybe that's a good thing, but I am not sure.
(Another factor, to be honest, are the advances in surgery over the past 20-40 years. You wouldn't have considered surgery this 30-40 years ago; it was major with major scarring.