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It's not about how much pain you're in, but about how much tissue they take out. Most insurance companies will not cover the surgery unless, I believe, the surgeon estimates that 500 total grams will be removed.
Also, one thing I forgot to mention: You don't get to choose the size you'll be after the surgery. I did ask my surgeon about this, because I'm not a very big person and remembered that I was completely miserable as a C cup in junior high school, when I was more or less the same size I was at the time I had surgery. She told me that the only promise she could make was that I would be proportional. I could be a B, but she said that most women end up as a C, which would look just fine. In junior high, she told me, I was more likely a D and wearing the wrong bra size.
It is also my understanding that scoliosis is completely unrelated to the size of your breasts. I never had it, but girls I went to school with who were much smaller than I did. Possibly, the fact that you had it might be incentive for your health insurance to cover a breast reduction, but no guarantees.
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Do I contradict myself?
Very well then I contradict myself,
I am large. I contain multitudes.
-Walt Whitman, Song of Myself
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