Breast cancer remains one of the most common malignancies in women and is one of the leading causes of cancerrelated mortality. Despite the current emphasis on breast conservation, mastectomy rates remain at 30%. Mastectomy is often associated with significant psychological sequelae including distorted body image and sexual dysfunction. Breast restoration is assumed to allow a full emotional and physical recovery from a breast cancer crisis. Autogenous tissue gives the best results, and currently the best technique in most women is probably the free DIEPflap. there is theoretically minimal functional loss, minimal risk of hernia, less postoperative pain, and shorter hospitalization. However, there is a range of options, such as other flaps and use of implants, which can be tailored to specific situations