I had true gynecomastia (ie. including glandular tissue, not just fat tissue). It came to a head when I was 15, and my little cousin (female) pointed to my bare chest at the pool and asked "what are those things on your chest". She was, I want to say, 4 or 5 at the time.
So, I spoke to my parents, they spoke to their insurance, and I managed to get approved for and get the reduction completed just under the wire (ie. before my 16th birthday), because they refuse to pay for elective surgeries for adults 16+, and will only do it for children if it causes an "extremely negative self image" or whatever.
For my part, though I know many would disagree with me in their own lives, I'm glad that I had the gynecomastia corrected.
