January 22, 2013. Seems so far away, but I know it’ll be here before I know it. That’s the day I’m having a prophylactic bilateral mastectomy (PBM) and start the breast reconstruction process. A PBM is an elective, preventative procedure which surgically removes breast tissue (see more details under WHAT IS A PBM?). You’re doing what with WHAT? Ya, I am doing it. I have thought long and hard about what this really means. I have discussed this with family, friends, and doctors. I have done hours of research, almost ad nauseam. After considering all of the factors, the risks, the benefits, the uncertainties, the consequences, I know this is the right decision for me.