Men who undergo breast reduction surgery often do so for cosmetic reasons. Unlike women who may opt for breast reduction surgery because overly large breasts are causing back, neck or shoulder pain, this is usually not the case for men. Some men suffer from gynecomastia in which the breasts are overly large, but they are usually not large enough to be causing physical discomfort. The discomfort of gynecomastia is often psychological in nature. Patients who opt for breast reduction surgery are often seeking a more masculine appearance.