This was a 2-year (September 2011 to September 2013) prospective observational study conducted in the department of Plastic Surgery in our institution. Before starting the study, Institutional Ethical Committee clearance was taken. During the study period, total 36 gynaecomastia patients were admitted, among them 12 patients had grade IIb and grade III gynaecomastia, and taken as the study population. With prior consent, patients were examined clinically; with hormonal assays; with mammography and ultrasonography of breasts. Pre-operative and post-operative photography were also done. [Figures 1–3] Findings of each patient were recorded separately and compared at the end of the study [Table 1].