For the survey, UCLA researchers asked 931 women who had a mastectomy without undergoing breast reconstruction to assess the motivating factors for forgoing the procedure. The researchers also measured whether surgeons provided them with sufficient information and support for going flat. Women who experienced this kind of resistance tended to be less satisfied with their decision, the study found. Women who choose to go flat should be supported by their treatment team and not treated as if they aren’t concerned about their post-surgery appearance. “This study is an important first strike at dismantling the (often unconscious) patterns of paternalism and misogyny that have festered—unseen and unexamined—in breast cancer care for decades,” she told Cancer Health.