This update will focus on my gyno removal surgery up to today which is basically 3 weeks post op. When doing the surgery, I had the options of local anesthesia or going under. I chose the local to save money, if you have the extra, I will say going under would make this surgery a breeze. However, the local is doable but there are some pitfalls. Before the surgery when they administer the local to the area the first few shots of the needle are painful but manageable. After a few shots you start to feel it less and less but there is always a least a little sensation. Then you wait for the shots to really kick in. I chose to listen to music to help pass the time. My surgery was a bit over 90 mins start to finish. Most of the time I could feel pressure, moving parts and just a general sense of what was going on. However, there were multiple points on each side where the local anesthesia level was either not high enough or not in there. I did need to get more shots to numb those areas. This generally came after a sharp intense bit of pain. I’m not sure of the actual took that was used but when the nerves in a specific area were not numbed enough, I knew it. I’d say combined I was in double digits for the number of times I felt it. After one side I asked if we could preemptively add more to the side he was about to start working on. That wasn’t possible because the idea is to use as little as possible and there is a max amount, I could receive so we only wanted to add it to specific areas when I felt pain. The post op nurse did make a comment to me that she was impressed for only using local. After removing as much as possible from each side they sewed up my nipple area and added drains. You also get fitted with a vest or compressions garment which is key to keeping swelling down. While your drains are in you take antibiotics and must check and measure your drains every 12 hours. I was able to get off pain killers the 3rd day after surgery and I wore my vest for about 95% of time after the surgery up till my 1-week post op where the drain was removed. Then at 2 weeks out I started lifting again but no direct pec work, so I also avoid machines that are chest supported. Even after I stopped wearing the vest, I chose to wear some compression shirts, for me this wasn’t for swelling or anything, but the nipple area was still very sensitive to fabric on it. Now approaching my 3 weeks out I only wear compression shirt while working out or if the shirt I’m wearing seems to be causing discomfort. I imagine by week 4 post op I will only be wearing the shirts for working out. I haven’t noticed a decline yet in my training except I am choosing more machines as to not have to lift plates. Once I hit my 6 weeks, I’ll go back to my previous training program. I also have a 6 week post op appointment and will be doing a 6 month post op from what I understand. Knowing what I know now I would totally still do the removal. Even with the pain during surgery and some of the small uncomfortable inconveniences during recovery I feel so much better about my physique. It was worth it for me. Now I already have a plan to get my test and E2 checked a little after 4 weeks post op, then plan is to be way more accurate with my estrogen control. However, if anything were to come back, they will fix it for free so that is a weight off my shoulders as well. Currently running 200 mg sust weekly along with 30 mg Nolva daily. I will adjust up or down or even to a stronger AI once I get numbers from bloodwork.