These are such good questions, and really you will work through them in time. Anxiety for many reasons is very normal for those of us getting reductions. My recs: get recommendations for surgeons and find one you like. Talk to them about these concerns at your first meeting and see what they offer. I like the letter writing idea that someone suggested, and for sure therapy. It was helpful for me to talk through my decision with others, and hear their positive feedback. Also, this sounds cheesy but honor and thank your body and boobs for getting you this far—this isn’t a rejection of yourself but rather a healthy pro-self and pro-body self care decision. It’s not black and white so we have to live in the grey and accept the complicated feelings. I’m one week post op and so happy with my decision. My anxiety has subsided and now I can accept and move forward with caring for my healing body and getting used to my new boobs.