Removing her breasts before they even develop has its own issues. “Simple” surgery is an oxymoron. It is only simple if nothing goes wrong. Surgery involves anesthesia, risk of infection, etc. and is not to be taken lightly. The elimination of “discomfort caused from large breasts” assumes several things. One is that in fact she will have large breasts, not a given. Additionally, discomfort to whom? It depends on her overall size. And what is a “supportive harness”? “Eliminate possibility of breast cancer” is valid if there is a strong history, if she carries the known genetic traits to make her susceptible, and if in fact there are other issues. To remove “breast buds” to eliminate the possibility of breast cancer with no other factors is like removing one lung to half the chances of lung cancer. What about other “female” cancers? Do you remove the cervix, ovaries, and the vulva? All cancer sites. Have you removed her teeth to eliminate the chance of pain from cavities and other oral issues? If Ashley has a “normal” sister, was she given a mastectomy at a young age to also prevent breast cancer? “Avoid sexualization towards caregiver.” TOWARDS caregiver from having breasts? From what, accidental nipple stimulation? Or does this mean the caregiver sexualizing her? Either way is wrong. If you worry about Ashley sexualizing the caregiver from breast sensations, then you must also perform a clitorectomy since during bathing she may feel sexual towards the caregiver. If you worry that the caregiver will sexualize her, then you need to choose better caregivers, or those that only like small breasted women. And make sure she does not have any secondary sexual characteristics such as pubic hair.