I agree, SB (no, not about the man boobs, haven't seen them to make my own conclusions!!) I think it's always a good idea to hang back and ask some caring questions about someone who's just told you they had a c-s, cos you don't know what she's feeling about it. Sometimes it's just not the right time to suggest that the medicos were unjustified, or that the medicos brought about the c-s in the first place. Some women take ages to be ready to hear this and if you tell them too soon they clam up or get very defensive, and it could very well feel like they brought it on themselves. That's why 'shoulding' people is not constructive. On the other hand, you may be talking to someone who weighed up all options, not just the ones convenient to a c-s and came to decide upon just that.
If you deal with people compassionately then adverse feelings they have really have far more to do with their side of things that what you have said or done.
Plus, if I were a person who had had a completely voluntary c-s, or was very much ok with my emerg c-s, or medically necessary c-s, I wouldn't care what others were saying about me cos I'm armed with one of my favourite tenets, "what others say about me behind my back is none of my business"! Every way I look at that, it's true. I realise lots of people just can't let go of what others say about them. What others THINK about me is even less under my control. What others think of my homebirth matters very little, because I was there and I know the score.
Anyhoo, I have to say I'm grateful you DID post, SB, cos a lot has been elicited and explored