In the setting of breast asymmetry I send a letter to OHIP on behalf of my patients seeking funding. On occasion I have been able to get them to pay for both sides. Many times I have had them offer to pay for one side (i.e. the will pay for a breast reduction or a breast augmentation to balance the two breasts). Some patients want something done to both breasts. If that is the case then they can pay for just the one side if OHIP won't pay for both. There are huge savings in that setting. Usually I suggest to let OHIP pay for the breast augmentation side as the price of the implant is covered by them. If your surgeon tells you that you automatically have to pay for your surgery on both sides, without seeking approval from OHIP, find another surgeon for a second opinion.What the best option is for you will vary depending on what is seen during your consultation and what you goals are. Breast surgery is something that is very customizable. Dr Rodger ShorttOakville Plastic SurgeonDirector of Cosmetic Surgery Training &Assistant Clinical Professor,McMaster University