Moobs and gyne are not the same, bro So I have the wonderful privilege of working in healthHAEScare. A mini planet waddled into my office the other day and after much mumbling around, admitted to having "gyne" (gynecomastia - male breast tissue enlargement) for the last 10 years. Gyne is quite common, and once you rule out the sinister stuff, it's usually treated surgically. So I gave him that preamble and asked if I could take a look.  Takes his off shirt, he doesn't have gyne, he just has fat dude little moobs. Like this http://i.dailymail.co.uk/i/pix/2010/01/10/article-1242163-07C95FA2000005DC-599_224x412.jpg So I tell him that I don't actually think he has gyne, and that surgery would be overkill in his situation. I tell him he can easily avoid surgery if he commits himself to dropping about 30 lbs, which is roughly what he needs to be at a normal BMI. I proceed to show him photos of the surgery, since he tells me he hasn't actually looked at that info. http://build-muscle-101.com/wp-content/uploads/2014/12/gynecomastia-surgery-side-effects.jpg Tell him once again he can just lose 30 lbs instead and I am 90% sure it will resolve of all his cosmetic issues AND benefit him in other ways.  Tell him to come back in 3 months after weightloss, in the meantime I will send him for tests to rule out anything weird like a hormonally active brain tumor, and if he has no improvement AFTER WEIGHTLOSS, I'll refer him to a surgeon. He left clearly disappointed