Dear pramid, Thank you for your question. #Gynecomastia is a fairly common condition affecting up to 32-65% of males. There are numerous factors that can lead to gynaecomastia - drugs, hormonal changes (including puberty), medical conditions etc. However, the most common cause is still unknown. This could be due to diet or hereditary factors. In our study of gynecomastia on Singaporean males (due to be published), we have found an increased incidence in Indian patients. The cost of the #gynecomastia surgery varies significantly due to the complexity of the condition which determines the surgical plan. Some patients can be treated with a minimally invasive technique whilst others may require skin excision. Personally, I would recommend a #minimally invasive technique (with minimal scarring) unlesss there is severe ptosis or skin laxity. I would advise your friend to seek an in-person consultation with a plastic surgeon with sufficient experience in male chest surgery. Have a discussion to understand the grade of gynecomastia and the surgical plan for correction of the condition. Request to have a look at before and after pictures. This will help you to make an informed decision. In #Singapore, this condition may be covered by your medisave or insurance, so do make sure you bring this up to your #plastic surgeon and your insurer when you have decided to go for the procedure. I hope this answers your question. Dr. Terence Goh MBBS (S'pore), MRCS (Edinburgh), MMed (S’pore)Fellow, Academy of Medicine, Singapore (Plastic Surgery)President, Singapore Association of Plastic Surgeons (SAPS)International Member, American Society of Plastic Surgeons (ASPS)