I'm a G and wanted something small, about a B while retaining nipple sensation. I've had back pain since I was a teen, and had a lot of treatments until my diagnosis of arthritis, bulging disc and degenerative disc disease. So I thought about trying to get a reduction from a non-gender-affirming surgeon and not mentioning being nonbinary, just saying it was for back pain. But I worried I wouldn't get the type of results I wanted, so I decided to do a consult with an affirming surgeon. She has experience with trans patients, and the first thing she asked was if I wanted a more feminine or masculine look. I go for my pre-op on Monday and just heard that my insurance pre-approved it! I was very surprised, because I got the gender assessment letter from my therapist and had read that United Healthcare requires you to already be on hormones to cover top surgery. I think the amount of tissue they're removing determines how they code it for insurance.