It is a common problem in men (30-32%) and results from the presence of an enlarged breast parenchyma ( true gynecomastia), or from a fat deposit in the breast area ( pseudo-gynecomastia). Most of the times, both components coexist. The treatment is directed to the main problem, removing it: excising the gland, removing the fat through a liposuction technique or both. The downtime is minimal, as is the pain. Swelling and bruising are expected and it is necessary to use a compression garment for the first two weeks. It can be done under local or general anaesthesia according to the severity and extension of the problem. The scars are concealed in the areola and are almost unnoticeable.