Is top surgery always necessary?

[chefhmboyrd]

for me personally, i think it is a choice.
i wish i had transitioned when i was young and my skin was supple not stretched because i probably would not have any surgery.
as it stands, i go shirtless in public anyway, even though i have not yet had surgery. i am hoping in the coming year to be able to afford it.

i think with the T, which causes the glands to deflate, and some serious attention to chest and back workouts, he can probably avoid having surgery if he chooses.