These decisions are difficult, but important. Therefore it is imperative that you gain as much information as possible before making this decision. The best way to get informed is for you to write down every question you have and hand it to the surgeon
when you meet with him or her before the operation. The healing process after mastectomy depends on whether you choose to have reconstructive surgery
at the same time or not. This is a personal decision that no one else can make for you. In general, women heal quite quickly and are back functioning normally within a month or so. Quite often, only the cancerous area along with some lymph nodes need to be removed allowing for conservation of most of the breast which yields better cosmetic results. The only utility of double mastectomy is if the patient desires to greatly reduce her likelihood of developing breast cancer in the future. This decision will depend highly on your age and family history of breast cancer. In summary, only the surgeon performing the mastectomy can tell you for sure what your options are, what the risks of each decision will be, and what your next best step should be with your personal preferences in mind. Good luck.