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In 2013, Angelina Jolie, a Hollywood actress known worldwide, made a choice that surprised many. She underwent a double mastectomy before any cancer was found. She did this to protect her health and be there for her family. More than a decade later, Jolie is speaking about not just the decision but the scars that came with it, hoping her experience helps others.

What led to the decisionAngelina Jolie learned she carried a mutation in a gene called BRCA1. This gene mutation sharply increases the risk of both breast and ovarian cancer. At the time of her decision, doctors told her that her lifetime risk of breast cancer was about 87% and ovarian cancer about 50%. Removing breast tissue before any disease appeared could reduce her risk of breast cancer to under 5%.

Her mother, Marcheline Bertrand, died of ovarian cancer at age 56. That personal loss added urgency to Jolie’s choice. She knew her risk was much higher than average because of family history and the BRCA1 mutation.

What the procedure involved

A double mastectomy means both breasts were removed before cancer developed. In Jolie’s case, surgeons took out as much breast tissue as possible. Later, reconstruction surgery helped shape the chest after the initial procedure. This two-part strategy is common for people who choose preventive mastectomy .

Even though the idea of removing healthy body parts can sound extreme, the medical goal was clear: lower risk, not treat disease already there. Many women in similar high-risk situations make similar choices after careful genetic testing and counselling.



Why sharing her story matters

At the time, Jolie wrote an essay called “My Medical Choice” in The New York Times. She didn’t just announce her surgery. She explained the science and emotion behind it: that it was not easy, but it gave her peace of mind about her children’s future.

Her public disclosure changed conversations globally. It increased interest in genetic testing and preventive healthcare. This effect, dubbed the “Angelina Effect” helped more women learn about their own risks and seek testing they might never have considered before.

Why she’s showing scars now

More than ten years later, Jolie agreed to appear on the cover of Time France with her mastectomy scars visible. She said she wanted to stand with other women who have shared their journeys, and to push for broader access to care and genetic screening for all, not just those who can easily afford it.

Her message extends beyond personal history. It’s about health knowledge, choice, and solidarity, especially for women facing tough decisions about cancer risk.

What this teaches about health choices

Jolie’s story shows the power of informed health decisions. Genetic risks aren’t the same for everyone, and the choice to have surgery must come from understanding one’s own situation. Her openness helped normalise difficult conversations about genes, risk, and preventive care, encouraging people to learn about their own bodies.

Disclaimer: This article is for informational purposes only. It does not replace professional medical advice, diagnosis, or treatment. Always consult qualified health professionals about genetic testing, cancer risk, and surgical options.