Gynecomastia is usually not painful, but in some cases, the breast tissue may
become tender or sore. The tenderness or soreness can vary from mild discomfort to significant pain. The degree of pain or tenderness may depend on the cause and severity of the gynecomastia. In some cases, gynecomastia can be associated with a feeling of heaviness in the chest or a general discomfort in the breast area. However, for most people with gynecomastia, there is little to no pain or discomfort associated with the condition. If the breast tissue becomes painful, tender, or swollen, it is important to talk to a healthcare provider to determine the underlying cause and appropriate treatment options.