No, surgery is not the only treatment option for gynecomastia. The treatment
for gynecomastia depends on the underlying cause of the condition. In some cases, gynecomastia may resolve on its own or with lifestyle changes such as weight loss and exercise. If the gynecomastia is caused by medication, stopping the medication may help. Hormone therapy or medications may also be recommended in some cases. Surgery is typically considered as a last resort when other treatment options have been unsuccessful or when the gynecomastia is severe and causing significant physical or emotional discomfort.