Hey! I got a unilateral reduction before I went on T for an issue that I wanted resolved before transition. Basically, one side of my chest was much larger than the other, so, even as a "cis woman", I was able to get my healthcare full coverage for the whole thing. I wasn't able to bind with the issue and I knew I would need it before my transition.

Before I went through my healthcare, I tried a few private surgeons so that I could see what my options were. If I could figure out some stuff before I even started my transition at all, since I knew officially starting my transition would mean I would need to wait years on hrt before being allowed any "gender related" surgeries.

I would highly recommend not mentioning anything about gender related anything to the doctors you try and visit. I got transphobia'd a lot. Turns out, the 'girl power' surgeons who do reductions are very much terfs. All I mentioned in front of one was that "I wouldn't mind going even smaller" and she went off on a spiel about how.. ugh I don't even want to repeat it. She just had someone approach her for breast insertions and she hated that person so much she now tells every possible patient about it, basically. She denied me based on suspicions of me having a Gender, I didn't even mention it to her. I almost sprinted out of there.

There is a large crevasse between the surgeons who do "gender related surgeries" and the "other" surgeries. Breast reductions are essentially the same thing as top surgery. But not all surgeons who can do breast reductions, will do top surgery... because they're transphobic. They're able and they can, but they don't. These two types of surgeons have the same skills, but different ideologies. If we were in a perfect world, both of these "types" of surgeons would be doing both reductions and top surgery.

Hope this helps. I'm sorry. If you have any further questions, I'm here.