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Abstract The volume replacement including the implant based reconstruction the autologous reconstruction like reconstruction with latissimus dorsi and TRAM flap. Each group has different indication and timing (immediate and delayed reconstruction). The knowledge base of the oncoplastic surgeon should include a detailed understanding of the planning, selection and evaluation of the oncoplastic technique according to each patient. Successful breast cancer treatment demands a collaborative team approach, requiring dynamic communication between a diverse group of specialists. In fact, a careful preoperative assessment helps to establish a comprehensive surgical plan that will achieve better results. Oncoplastic surgery has begun to grow as a new subspecialty. As more surgeons adopt the oncoplastic concept, more techniques will be developed, advancing the subspecialty of breast surgical oncology. Keywords: Transverse rectus abdominis myocutaneous flap - Polydioxanone- Progesterone receptors- Latissimus dorsi Neoadjuvant chemotherapy- Inframammary fold |