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A medical file several inches thick reminds me daily of the choices I’ve made since testing positive for the BRCA2 gene. Previously, hereditary cancers were something I read about in magazines, sympathising with others—but I never imagined I’d be at risk. Although my father lost several relatives to cancer, I thought I was safe as it wasn’t in my mother’s family.

A cousin’s ovarian and bowel cancer revealed the BRCA2 gene in our family, opening the option for extended genetic testing. My father’s positive result was a blow, and as one of five siblings, we each had a 50/50 chance of carrying the mutation. My sister, already treated for breast cancer, encouraged us to act. Though healthy at 48, the idea of prophylactic surgery was daunting.

I read everything I could on treatment, drug trials, and prevention. As a mother of three, my overriding concern was protecting my children—especially from ovarian cancer, the “silent assassin.” In April 2010 I had a prophylactic oophorectomy. Pathology revealed cancer cells in one fallopian tube, validating my decision. A doctor’s comment reminded me my breast cancer risk remained high, prompting me to consider further surgery.

Being well-informed helped me feel in control. I involved both a general and plastic surgeon for my double mastectomy and reconstruction. Surgery was emotionally challenging—breasts are visible, feminine, and tied to identity and intimacy—but I felt ready.

On Valentine’s Day 2012, I had my breasts removed and reconstructed. Initial pathology was clear, though a second review found a few fast-growing cells, confirming I made the right choice. I stayed five days in hospital and had a six-week recovery, supported by a close circle of friends. My chest feels different, but I’m happy with the results, and my husband approves.

In July, temporary implants were replaced with permanent silicone ones. My recovery is complete, and I’ve even celebrated with some new, sexy bras. I’m grateful to have had this journey, and it has taught me that knowledge truly is power.