Gynecomastia can arise from estrogen and androgen hormones action imbalance, evaluation of gynecomastia must include a detailed medical history, clinical examination, specific blood tests, imaging and tissue sampling. Definitive treatment ranges from simple reassurance to medical treatment, and in extremes cases, surgery. The main aim of any intervention is to relieve the symptoms and exclude other etiological factors. In this case series, we notify the rising number of idiopathic gynecomastia in our center by presenting the history, clinical findings and surgical treatments of several male patients who presented with gynecomastia within one month.

Long-standing symptomatic Idiopathic post pubertal gynecomastia should be offered surgical treatment. The surgical indication increases when no etiological cause could be found following evaluation. Surgical treatment helps to exclude other pathological risks through histological evaluation.