Check out this here bodybuilder's advice on how to lose man boobs using medical drugs, so you (hopefully) don't have to resort to surgery.
I'm not a fan of modern bodybuilding using steroids as the guy in this video clearly does, but since these guys often induce man boobs in themselves by using steroids, they know a thing or two about how to get rid of man boobs using drugs that counteract the effect of excess exogenous testosterone.
Here's the video:
Rightly so, as this guy mentions, raloxifene has been shown in the studies to be more effective than tamoxifen at getting rid of gynecomastia.
If you have man boobs or gynecomastia, consider talking to your doctor about using raloxifene.
The other thing I would recommend is that you use turmeric. Studies have found curcumin from turmeric to have powerful estrogen blocking effects just like tamoxifen and raloxifene.
I haven't seen any head to head comparisons that show that curcumin from turmeric is better than tamoxifen and raloxifine at blocking estrogen, but unlike these drugs, turmeric has no negative side-effects, and unlike these drugs, turmeric helps you lose man boobs and puffy nipples via multiple other mechanisms besides just blocking estrogen.
Turmeric helps your liver excrete estrogens from your body, it's both a powerful anti-inflammatory agent and antioxidant, both of which helps support testosterone production by the testes. It also helps reduce insulin resistance (insulin resistance being associated with man boobs).
And even if you do decide to take medical drugs to help shrink your man boobs, studies show that curcumin from turmeric enhances what both raloxifene and tamoxifen do, so you're better off taking one of these drugs with turmeric.
My recommendation would be that you start with turmeric (due to its lack of side-effects, multiple mechanisms of helping you to lose man boobs, and multiple other benefits like weight loss and reduced inflammation), and consider adding one of those drugs to your regimen if you find turmeric on its own isn't enough.
If you want to start taking a turmeric supplement, here's the one that I've found to work the best at shrinking man boobs and puffy nipples.
Of course, you can try other turmeric supplements, but the supplement industry is highly unregulated, and I've found most turmeric supplements to not work for man boobs or puffy nipples. Even the ones with great reviews are probably just people raving about the placebo effect. Plus keep in mind that all those turmeric supplements with hundreds of great reviews, none of those reviews mention gynecomastia or man boobs. Having tried over a dozen different supplements for my man boobs, I've found this one by Hewis & Selby Supplements to work the best: