For my 40th birthday, I mustered the courage to do something that I'd wanted since my 20's. At the time that I seriously began considering reconstruction, I wasn't familiar with the term "augmentation." My research process began with reading internet articles and advanced to peer reviewed journals from the Johns Hopkins Library. As I educated myself, I questioned my gynecologist and nurse practitioner at the gynecologist's office. I was very timid and felt some degree of guilt for even considering reconstruction.