A certain amount of breast tissue is present in 100% of men – that is the normal condition. Gynecomastia is an excess of tissue, including breast tissue. Proper surgical treatment is aimed at reducing the excess tissue to a more normal amount.
Gynecomastia surgery is not cancer surgery, where every last cell of breast tissue need be removed. In fact, if surgery for gynecomastia were aimed at removing all breast tissue, the results would be near mutilation of the chest.