• Private Surgery Across Canada
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Private Breast Surgery

Getting the care you need shouldn’t be complicated — whether you have questions or are ready to take the next step, we’re here to help you move forward.

Expert Care for a Range of Breast Conditions

Breast conditions range from benign but uncomfortable tissue abnormalities to conditions that affect appearance, function, and quality of life. Whether you are dealing with accessory breast tissue, a breast lump that requires removal, or gynecomastia, early evaluation ensures you understand your options and can make a well-informed decision about your care.

Gateway Surgery offers private surgical consultations and procedures for a range of breast conditions. Our surgeons take the time to understand your specific presentation, your concerns, and your goals — and will guide you through the most appropriate treatment path.

  • No Referral Required. Contact us to book your private consultation!
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Care for Every
Kind of Hip Pain

Care for Every Breast Condition

Axillary & Accessory Breast Tissue Removal

For patients with extra breast tissue outside the normal breast boundary — most commonly in the armpit

Conditions
  • Axillary Breast Tissue (accessory breast tissue in the armpit)
  • Polymastia (supernumerary breast tissue)
  • Symptomatic accessory tissue causing discomfort, chafing, or restricted movement
  • Cosmetically significant accessory tissue affecting clothing fit or body image
Surgery
  • Surgical Excision of Accessory Breast Tissue

Lumpectomy (Partial Mastectomy)

For benign and borderline breast masses requiring surgical removal, including fibroadenomas and PASH

Conditions
  • Fibroadenoma (benign breast tumour)
  • Pseudoangiomatous Stromal Hyperplasia (PASH)
  • Other benign or borderline breast masses confirmed on imaging and biopsy
Surgeries
  • Lumpectomy / Wide Local Excision
  • Partial Mastectomy

Male Breast Reduction (Gynecomastia)

For men with enlarged breast tissue causing physical discomfort, sensitivity, or significant impact on daily life

Conditions
  • Gynecomastia
Surgeries
  • Glandular Excision (subcutaneous mastectomy)

Your Journey with Gateway Surgery

Navigating private surgery can feel unfamiliar. Here’s what to expect.

1

Connect With Our Team

Your journey starts when you contact us directly or when we receive a referral from your physician. Our team reaches out to gather your records, confirm your information, and explain the next steps so you feel prepared before your consultation.

2

Meet With Your Surgeon

You meet one-on-one with your surgeon, either virtually or in person, to review your history, symptoms, imaging results, and prior treatments. You will leave with a clear diagnosis, your treatment options, and the time to ask every question you have.

3

Preparing for Surgery

If you decide to move forward, we handle the logistics — scheduling your procedure, arranging any required pre-operative assessment or imaging, and providing you with clear, personalized pre-operative instructions so there are no surprises on the day.

4

Surgery Day

On the day of your procedure, your surgical team guides you through each step. Most breast procedures are performed as day surgery under general or local anaesthesia. You will understand exactly what to expect before discharge, including wound care and what to monitor during early recovery.

5

Recovery and Follow-Up

Your care continues after your procedure. We coordinate post-operative follow-up, provide detailed wound care and activity guidance, and ensure you have access to our on-call nursing team during your recovery period. Pathology results, where applicable, are reviewed directly with your surgeon.

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Meet Our Breast Surgery Specialists

Our surgeons are breast and general surgery specialists with a focused practice in the conditions listed on this page. Each brings dedicated experience and a commitment to patient-centred care.

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Breast Surgery Frequently Asked Questions

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Do I need a referral to access Gateway Surgery?
No referral is required. You are welcome to contact our team directly. We will gather the relevant history and imaging, and connect you with the right surgeon for your specific condition.
Yes. Gateway Surgery offers private pay surgical services. These procedures are performed outside the public system and are not billed through provincial health insurance. Patients pay directly for surgical, anaesthesia, and facility fees. Our administrative team can provide a detailed fee breakdown and documentation to assist with any extended health benefit claims.

For most breast conditions, having recent imaging helps your surgeon provide the most accurate assessment during consultation. This may include:

  • Ultrasound (most commonly for palpable masses and accessory tissue)
  • Mammogram (for appropriate candidates based on age and presentation)
  • MRI (in select cases, ordered by your surgeon)

If you do not have recent imaging, your surgeon can recommend appropriate investigations at the time of consultation. You do not need to have everything in place before booking.

Not all breast masses require surgery. Many fibroadenomas, for example, can be monitored with imaging if they are stable and not causing symptoms. Surgical removal is typically considered when:

  • The mass is growing or changing on imaging
  • Biopsy suggests a lesion that is best managed surgically
  • The mass is large enough to cause discomfort or distortion
  • Pathology cannot be reliably confirmed without excision

Your surgeon will review your imaging and biopsy results and provide a clear recommendation during your consultation.

Pseudoangiomatous Stromal Hyperplasia (PASH) is a benign overgrowth of the connective tissue within the breast. It can present as a palpable mass or be found incidentally on imaging. While PASH is non-cancerous, it may be recommended for surgical removal if it is growing, symptomatic, or if the diagnosis cannot be fully confirmed on biopsy alone. Your surgeon will review your specific case and advise on whether monitoring or excision is the appropriate approach.

Risks vary by procedure and are discussed in detail during your consultation. General risks that may apply include:

  • Bleeding or haematoma
  • Infection
  • Scarring
  • Changes to breast contour or nipple sensation
  • Seroma (fluid collection), particularly after larger excisions
  • Recurrence (most relevant for fibroadenoma, PASH, and gynecomastia)

For axillary tissue removal, temporary restriction of arm movement during early recovery is common. For gynecomastia, contour irregularity, nipple retraction, and asymmetry are procedure-specific considerations. Your surgeon will tailor the risk discussion to your anatomy and planned procedure.

Many patients are able to access consultation within a few weeks and surgery within 1-3 months, depending on medical readiness and surgeon availability. Our team will provide a realistic timeline following your consultation.

Recovery varies by procedure:

  • Accessory tissue removal: Most patients return to desk work within 1–2 weeks. Activity restrictions apply for 3–4 weeks, particularly for axillary cases where arm movement is limited initially.
  • Lumpectomy: Most patients return to normal daily activity within 1–2 weeks. Strenuous activity is typically restricted for 3–4 weeks. Pathology results are generally available within 1–2 weeks of surgery.
  • Gynecomastia reduction: A compression garment is typically worn for 4–6 weeks post-surgery. Return to desk work within 1–2 weeks; full activity by 4–6 weeks depending on the extent of the procedure.

Your surgeon will provide detailed, personalized recovery instructions before discharge on the day of surgery.

Extended health benefit coverage varies by insurer and plan. Some plans reimburse portions of private surgical, anaesthesia, or facility fees. We recommend confirming your eligibility and reimbursement limits directly with your insurer before your procedure. Gateway’s administrative team can provide itemized invoices and documentation to support your claim.

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Dr. Daniel Pincus

MD, PhD, FRCSC

Dr. Daniel Pincus is an orthopaedic surgeon specializing in hip and knee replacement surgery, including complex primary procedures and revision joint reconstruction.

He is known for particular expertise in minimally-invasive hip and knee replacement techniques, including hip resurfacing, DAA hip arthroplasty, and partial and total knee replacement, and has performed more than 3,000 of these procedures. Dr. Pincus serves as Fellowship Director for the Sunnybrook Hip and Knee Arthroplasty Fellowship Program, where he is actively involved in surgical training and education.

During his training and early career, he received several prestigious honours, including the Lawson Family Most Outstanding Graduate Award from the University of Toronto Orthopaedic Surgery Program and the Bernie Langer Award from the University of Toronto Department of Surgery, recognizing the most promising early-career surgeon.

Dr. Pincus is committed to personalized evidence-based care and integrating the most advanced surgical techniques to help patients safely return to mobility, function, and quality of life.

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