In many cases Gynecomastia requires no treatment whatsoever and will disappear quietly on it's own.
In other cases, the treatment may depend upon the cause. For example, if the cause is the medicine that you're taking, then hopefully there is a suitable alternative which will be just as effective but without the side of effect of Gynecomastia. As Gynecomastia is usually less of a problem than the condition that the medicine is treating, this other condition will take priority in your care.
In a lot of cases, the reason for Gynecomastia is obesity. In this case, if the patient loses a degree of their weight through diet and exercise, then this will usually cure the Gynecomastia without the need for any kind of surgery.
In a small number of cases, surgery is deemed to be the best option. Usually in these cases, the Gynecomastia is causing the patient a significant degree of psychological problems.
This surgery removes the glandular tissue and/r fat behind the breast in order to create a more masculine looking chest.
The surgery for Gynecomastia can often be conducted under a local anesthetic with some sedation and the patient be treated as an out-patient. However, as with all surgery, whether it is low risk like this or high risk, there is always an element of risk of excessive bleeding, fluid loss and problems associated with the anesthesia. As such, the patient should be healthy and emotionally stable otherwise the risk of surgery is increased. There can also be a degree of scarring with the surgery which should be known before the operation takes place.
As this surgery is usually considered cosmetic, it is often quite difficult to get financing or for the public health bodies to accept you as a patient. However, patients do sometimes get the funding required often after proving the psychological problems that this condition causes.
Source Mike Mansell