A lot of surgeons don't remove the gland, they just cut some of it away to shrink it down. They are afraid to remove the gland because it is more likely to cause concave nipples, which really look weird and nobody wants.
However, full gland removal isn't really more likely to cause concave nipples if the surgeon knows what they are doing. If you do a google search you'll see there are a handful of surgeons that specialize in full gland removal and have consistently incredible results. It is no more expensive than the "classic" gyno surgery, but it works WAY better and will do a vastly better job at ensuring it never comes back, particularly if you are planning to use AAS (as probably all of us hear do).
I had pubertal-induced gyno that I was self conscious about from age 13 all the way to 28 when I finally got it done...man the relief is immense! I had recently started using PEDs about a year or so before that, and even though I was controlling my E2 it just seemed to get worse still. It was never HORRIBLE, honestly most other people probably didn't notice it, but I did. I only wore certain shirts, constantly tugged at my clothes to try to minimize the way it looked, would mess with my posture, etc. It really sucked.
One thing that is simply not true is that working out your chest simply won't help hide your gyno. It will make it worse! This is because as you build muscle underneath there, it causes the gyno nipple to protrude even further out. So as your pecs get thicker, your nipple pokes out further and further. (Yes, maybe if you could magically only train your upper inner pecs it would "even it out" but we all know that isn't truly possible.)
So I got the surgery done from a doctor in Chicago, I'd be happy to give his name to anyone who is interested. He did an incredible job and is a fairly juicy fella himself...even if he isn't local, you are already going to spend $4-6k on surgery, what is another couple hundred bucks on a flight and hotel room? Honestly, get that shit done and get it done RIGHT!!!
Super happy with it, have the manliest man-pecs ever now. They are just glorious!