To back up Alice, it depends upon what you have planned for them.
For me, it was always my plan to loose them, so no problem.
From my own experience, the biggest problem is keeping them protected from harm. Like a raging sore or a painful thumb, they do have a habit of kicking up a fuss when they get knocked about.
Personally, I've been in the habit, for many years, of wearing tight underwear to keep the whole area under some control and creating a bit more of a curve, where the ugly lump is.