Over the years I have seen several thousand cases of male breast hyperplasia patients, two-thirds of which belong to the third to fourth degree of development, with sagging breasts presenting a very obvious feminized appearance, a situation that is very embarrassing for the patient and seriously affects psychological and physiological health. How can we solve this problem completely? Surgery is the best way to treat this condition. However, can the traditional “one-size-fits-all” approach really meet the needs of the “big-breasted”? The answer is no. The traditional way of general surgery is to make an incision of several centimeters in the areola or lateral chest wall to remove the glands and fat. It should be noted that even the most experienced surgeons are unable to do precise excision, and it is very easy to “cut too much” or “cut too little”, which will result in the depression or bulging of the breast. It is easy to “cut too much” or “cut too little”, resulting in concavity or bulging. Therefore, we need to use minimally invasive excision of the gland combined with superficial liposuction plastic surgery to complete the chest orthopedic surgery, both the treatment of breast hyperplasia and the restoration of the normal male chest shape without leaving scars. The surgeon will develop a targeted surgical plan by accurately analyzing and aesthetically designing each patient’s developmental characteristics such as the size of the glands and the amount of fat to ensure the smoothness and aesthetics of the chest after the surgery. Minimally invasive and scarless surgery for male breast hyperplasia has changed the traditional “one-size-fits-all” surgical method that brought great pain to patients physically and mentally, and solved the troubles of many male friends in a painless manner.