I am 210lbs, 5'7" large broad chest and long torso. I liked the larger size because my chest was so broad. I was worried because everything I read said not to go so large. However, I am extremely happy I went larger because if I had gone any smaller it wouldn't look any differently. I completely recommend following your gut. If you are larger like I am it is worth going bigger.
The surgery was completely worth it. I felt like crap the first couple weeks. Now I feel great. Breasts are getting softer and less sensative. They have dropped and looked amazing.