One question that many patients often ask during the in-person consultation is: “Do I have to have surgery if I have glands?” The answer is: “It doesn’t have to be surgery!” Today let’s analyze scientifically: the indications for male breast enlargement surgery are basically divided into the following three cases; 1, “symptomatic” breast enlargement, that is, the breast gland simple hyperplasia development accompanied by lumps, pain, lactation, and other clinical symptoms and symptoms affecting the patient’s normal work and life. Breast development, chest enlargement seriously affects the patient’s beauty and self-confidence, causing serious psychological burden. Breast development is suspected to be malignant (breast cancer). Except for the above three cases, patients can basically be observed clinically and encouraged to work and live normally without surgery.