If you want to bring the head out on a front quarter or if you can get the elk out whole then that should suffice, but most people don't want to pack out that extra 50 or so pounds so they just cut the antlers off of the skull. In which case you need to leave evidence of sex on the rear end meat.
Let me start off by saying that I am a scaredy cat.
For someone that spent 3 years in 82nd Airborne jumping out of all manner of military aircraft, my friends find this ludicrous - but... it is what it is!
Climbing stand? Yep, still scared - put me up 15' and that is about it.
Ladder stands? I am better in these - but still cautious.
Chain on stands? Used to love them, now they terrify me.
I was once ridiculed for putting chain on stands waaaay too high - some of my friends...