If the benchmark is completely healthy, then no gain. But I am using the benchmark of starting with an 80% chance of getting breast cancer. So the gain is an almost elimination of the risk of getting breast cancer and avoiding the chemo, etc. which other posters have pointed out would be harder than the surgeries. That is a huge gain. And these surgeries - resulted in loss of sensation to be sure - but no loss in appearance (per Brad). So starting from an 80% change of getting breast cancer, yes, this was a net gain for Angelina IMO. And I have had breast surgery so I am not completely unaware of the issues.