>>40071128 (OP)I think the real question is that why don't most of them try to lose weight before top surgery?
Most of them would be considered obese, and men who are extremely overweight have moobs, not weirdly flat chests.
I don't want to hear about "waah fat shamer!" or something stupid. If you're not chronically obese, the good news is that you can fix that problem likely without any medical intervention. (then again, being overweight reduces grey matter and makes your brain shrink, reducing intelligence and motor skills)