Decision guide
Breast-conserving surgery aims to treat the cancer while keeping the breast.
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Breast-conserving surgery aims to treat the cancer while keeping the breast. An oncoplastic approach combines breast-conserving surgery with reshaping. It can allow larger amounts of tissue to be removed while preserving breast shape. The operation needs to be tailored to the individual rather than treated as one standard technique.
For some people with larger tumours, oncoplastic surgery can extend the possibility of breast conservation. Having more than one cancer in the same breast does not automatically rule it out: breast conservation has been compared with mastectomy in this setting, with the important conditions that the edges of the removed tissue are free of cancer and radiotherapy is given afterwards. Differences between the patients selected for each operation limit how confidently these comparisons can guide an individual choice.
Treatment of the underarm lymph nodes is a separate decision. In selected early-stage breast cancers with cancer in one or two sentinel nodes—the nodes sampled to assess spread—studies have compared limited node surgery, sometimes with underarm radiotherapy, against more extensive node removal. These findings concern limited node involvement, not every pattern of cancer spread.
The extent of lymph-node surgery can affect swelling risk without necessarily improving cancer outcomes. A 2025 review of seven randomised trials included 7,338 women with breast cancer and one or two affected sentinel nodes, followed for 2.8 to 10 years. Limited sentinel-node surgery was associated with a 65% lower relative risk of lymphoedema, or swelling caused by impaired lymph drainage, compared with more extensive underarm node removal. This is a relative reduction, not 65 fewer cases in every 100 women. The review found no statistically significant differences in survival, survival without disease, or recurrence at the reported 5-, 8- and 10-year assessments. These results apply to the selected node-treatment settings studied, including some use of underarm radiotherapy; they are not a survival estimate for all breast cancer operations.
Possible problems after breast cancer surgery include bleeding, persistent pain, changes in sensation and lymphoedema. Risk depends in part on the operation: more extensive underarm node removal carries more lymphoedema risk than limited sentinel-node surgery in the patients studied. Oncoplastic breast conservation also involves a trade-off: a 2017 expert consensus supported its potential to improve breast appearance and treat larger tumours, but agreed that complications are more likely than with conventional breast conservation.
Preserving the intercostobrachial nerve, which contributes to sensation around the underarm, probably reduces persistent postsurgical pain and sensory problems compared with dividing it. Evidence about how nerve preservation affects cancer recurrence is much less certain.
Pain control is an important part of early recovery. Regional nerve blocks use local anaesthetic to numb a particular area. A 2025 review included 39 randomised trials with 2,348 women undergoing breast cancer surgery; most trials involved modified radical mastectomy. At 24 hours, the comparison of pain at rest drew on 13 trials with 793 participants. Pectoral nerve blocks reduced pain by an average of 0.32 points on a 0–10 scale compared with paravertebral blocks, less than the one-point difference the review considered clinically important. This comparison concerns early pain relief, not how soon someone can return to work or usual activities.
| Specialist | Clinic | Operations and experience | Ask about treatment |
|---|---|---|---|
Joan Carles Galceran | Centro Médico Teknon Barcelona, Spain | Transurethral resection of the prostate (TURP); Breast cancer surgery In practice since 1987 | Ask about treatment |
| Specialist | Clinic | Operations and experience | Ask about treatment |
|---|---|---|---|
Oreste Gentilini | San Raffaele Milan, Italy | Breast cancer surgery In practice since 1999 | Ask about treatment |
| Specialist | Clinic | Operations and experience | Ask about treatment |
|---|---|---|---|
Ayhan Erdemir | Anadolu Medical Center Istanbul, Turkey | Stomach cancer surgery; Breast cancer surgery; Hyperthermic Intraperitoneal Chemotherapy (HIPEC); Whipple surgery In practice since 2003 | Ask about treatment |
Kemal Rasa | Anadolu Medical Center Istanbul, Turkey | Mastectomy; Thyroid resection; Breast cancer surgery; Pancreatic cancer surgery In practice since 1997 | Ask about treatment |
Cengiz Dibekoglu | Istanbul Florence Nightingale Hospital Istanbul, Turkey | Breast cancer surgery; Lumpectomy; Colectomy (large bowel resection); Rectal resection; Gastroectomy In practice since 1991 | Ask about treatment |
Murat Atay | Istanbul Florence Nightingale Hospital Istanbul, Turkey | Mastectomy; Breast cancer surgery; Lumpectomy In practice since 1993 | Ask about treatment |
Turgut Camkiran | Büyük Anadolu Hospitals (BAH International) Istanbul, Turkey | Small intestine resection; Breast cancer surgery; Whipple surgery; Colectomy (large bowel resection); Gastroectomy; Pancreatic cancer surgery In practice since 1978 | Ask about treatment |
Muzaffer Al | Büyük Anadolu Hospitals (BAH International) Istanbul, Turkey | Esophagectomy; Small intestine resection; Breast cancer surgery; Lumpectomy; Whipple surgery In practice since 2010 | Ask about treatment |
Erol Kilic | Büyük Anadolu Hospitals (BAH International) Istanbul, Turkey | Small intestine resection; Breast cancer surgery; Whipple surgery; Colectomy (large bowel resection); Gastroectomy; Pancreatic cancer surgery In practice since 2009 | Ask about treatment |
Kadir Dicle | Büyük Anadolu Hospitals (BAH International) Istanbul, Turkey | Small intestine resection; Breast cancer surgery; Whipple surgery; Colectomy (large bowel resection); Gastroectomy; Pancreatic cancer surgery In practice since 2000 | Ask about treatment |
Levent Akgun Kazak | Büyük Anadolu Hospitals (BAH International) Istanbul, Turkey | Small intestine resection; Breast cancer surgery; Whipple surgery; Colectomy (large bowel resection); Gastroectomy; Pancreatic cancer surgery In practice since 2008 | Ask about treatment |
Soykan Barlas | VM Medical Park Florya Hospital Istanbul, Turkey | Small intestine resection; Breast cancer surgery; Lumpectomy; Whipple surgery; Colectomy (large bowel resection); Liver resection; Rectal resection; Gastroectomy; Pancreatic cancer surgery In practice since 2002 | Ask about treatment |
Levent Kaptanoglu | VM Medical Park Pendik Hospital Istanbul, Turkey | Small intestine resection; Breast cancer surgery; Whipple surgery; Colectomy (large bowel resection); Liver resection; Pancreatic cancer surgery In practice since 1992 | Ask about treatment |
Mehmet Akif Aydin | Medical Park Bahcelievler Hospital Istanbul, Turkey | Small intestine resection; Breast cancer surgery; Whipple surgery; Colectomy (large bowel resection); Throat cancer operation; Gastroectomy; Pancreatic cancer surgery In practice since 1998 | Ask about treatment |
| Specialist | Clinic | Operations and experience | Ask about treatment |
|---|---|---|---|
Baha Zengel | Medicalpoint International Hospital İzmir, Turkey | Breast cancer surgery In practice since 2014 | Ask about treatment |
Mehmet Saydam | Lokman Hekim Istanbul Hospital Istanbul, Turkey | Mastectomy; Breast cancer surgery; Rectal resection In practice since 2001 | Ask about treatment |
Mustafa Ozdogan | Memorial Göztepe Hospital Istanbul, Turkey | Mastectomy; Breast cancer surgery; Hyperthermic Intraperitoneal Chemotherapy (HIPEC) In practice since 2012 | Ask about treatment |
Onder Surgit | Optimed International Hospital Tekirdag, Turkey | Breast cancer surgery; Whipple surgery; Gastroectomy In practice since 1995 | Ask about treatment |
Zeynep Civelek | Neolife Medical Center Istanbul, Turkey | Breast cancer surgery In practice since 2000 | Ask about treatment |
| Specialist | Clinic | Operations and experience | Ask about treatment |
|---|---|---|---|
Manuela Seifert | Medical Center in Solingen Solingen, Germany | Mastectomy; Removal of colon cancer; Breast cancer surgery; Lumpectomy In practice since 2000 | Ask about treatment |
Wolfgang Schröder | Helios Gesundheit Wuppertal, Germany | Removal of liver cancer; Removal of colon cancer; Stomach cancer surgery; Da Vinci Robotic System; Esophagectomy; Small intestine resection; Breast cancer surgery; Lumpectomy; Hyperthermic Intraperitoneal Chemotherapy (HIPEC); Whipple surgery; Mohs microsurgery; Lung cancer surgery; Colectomy (large bowel resection); Liver resection; Rectal resection; Throat cancer operation; Gastroectomy; Pancreatic cancer surgery In practice since 2001 | Ask about treatment |
| Specialist | Clinic | Operations and experience | Ask about treatment |
|---|---|---|---|
Thomas Bachleitner-Hofmann | Confraternitaet & Goldenes Kreuz Private Clinic Vienna, Austria | Removal of colon cancer; Small intestine resection; Breast cancer surgery; Hyperthermic Intraperitoneal Chemotherapy (HIPEC); Colectomy (large bowel resection); Rectal resection In practice since 2001 | Ask about treatment |
| Specialist | Clinic | Operations and experience | Ask about treatment |
|---|---|---|---|
Gerald Filip | Ponderas Academic Hospital Bucharest, Romania | Breast cancer surgery; Lumpectomy In practice since 1996 | Ask about treatment |
| Specialist | Clinic | Operations and experience | Ask about treatment |
|---|---|---|---|
Tarek M Hashem | Shefaa Al Orman international oncology hospitals Cairo, Egypt | Breast cancer surgery In practice since 2004 | Ask about treatment |
| Tamer Mostafa ManiePortrait unavailable. | Shefaa Al Orman international oncology hospitals Cairo, Egypt | Breast cancer surgery In practice since 2005 | Ask about treatment |
| Specialist | Clinic | Operations and experience | Ask about treatment |
|---|---|---|---|
Piotr Ciszewski | WILMED Medical Clinic Warsaw, Poland | Mastectomy; Melanoma surgery; Breast cancer surgery; Lumpectomy In practice since 1992 | Ask about treatment |
Aleksandra Starosciak | WILMED Medical Clinic Warsaw, Poland | Mastectomy; Breast cancer surgery; Lumpectomy In practice since 2002 | Ask about treatment |
Dariusz Michalik | WILMED Medical Clinic Warsaw, Poland | Mastectomy; Breast cancer surgery; Lumpectomy In practice since 1990 | Ask about treatment |
| Specialist | Clinic | Operations and experience | Ask about treatment |
|---|---|---|---|
Gunel Mammadova | Liv Bona Dea Hospital Baku Baku, Azerbaijan | Breast cancer surgery In practice since 2010 | Ask about treatment |
| Public programme | Clinic | Recorded price | Programme details | Request a quote |
|---|---|---|---|---|
| Breast Cancer Surgery by Prof. Gentilini with 5,000+ Procedures — Transfer & Translation Included | San Raffaele | USD 22147.22Bookimed offer, Oct 2026 |
What the programme includesBreast Cancer Surgery by Prof. Gentilini with 5,000+ Procedures — Transfer & Translation Included Included: Urological examination Included: Breast cancer surgery Included: Individual chamber Included: Transfer airport-clinic-airport Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Stay: 3 days in the hospital Stay: 7 days in the hotel |
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| Public programme | Clinic | Recorded price | Programme details | Request a quote |
|---|---|---|---|---|
| Breast carcinoma | Valued Med Hub Hospitals | USD 1650Bookimed offer, Oct 2026 |
What the programme includesBreast carcinoma Included: Consultation with an oncologist Included: Consultation with a surgeon Included: Breast cancer surgery Included: Chemotherapy for breast cancer Included: Transfer airport-hotel-clinic-airport Excluded: Airfare Excluded: Additional activities not included |
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| Public programme | Clinic | Recorded price | Programme details | Request a quote |
|---|---|---|---|---|
| Diagnosis, consultations + treatment | Anadolu Medical Center | USD 3230Bookimed offer, Oct 2026 |
What the programme includesDiagnosis, consultations + treatment Included: Complex diagnosis of breast cancer Included: Breast cancer surgery Included: Transfer airport-clinic-airport Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included |
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| Public programme | Clinic | Recorded price | Programme details | Request a quote |
|---|---|---|---|---|
| Unilateral mastectomy with breast reconstruction with silicone implant and latissimus dorsi flap | Ponderas Academic Hospital | USD 17930.84Bookimed offer, Oct 2026 |
What the programme includesUnilateral mastectomy with breast reconstruction with silicone implant and latissimus dorsi flap Included: Breast cancer surgery Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Excluded: Transfer is not included Stay: 4 days in the hospital |
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| Public programme | Clinic | Recorded price | Programme details | Request a quote |
|---|---|---|---|---|
| Tumor Resection Surgeries (Oncologic Surgery) | Turan Turan Health Group | USD 13800Bookimed offer, Oct 2026 |
What the programme includesTumor Resection Surgeries (Oncologic Surgery) Included: Breast cancer surgery Included: 24-hr nurse services Included: Electrocardiogram (ECG) Included: General anesthesia Included: Consultation with an anesthesiologist Included: Chest X-ray Included: Consultation with a surgeon Included: VIP transfer (premium vehicle service, all transfers between airport, hotel and clinic) Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Stay: 4 days in the hospital Stay: 10 days in the hotel |
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| Public programme | Clinic | Recorded price | Programme details | Request a quote |
|---|---|---|---|---|
| Skin / Areola / Nipple-Sparing Mastectomy with Sentinel Lymph Node Biopsy | Memorial Göztepe Hospital | USD 11980Bookimed offer, Oct 2026 |
What the programme includesSkin / Areola / Nipple-Sparing Mastectomy with Sentinel Lymph Node Biopsy Included: Breast cancer surgery Included: Transfer airport-hotel-clinic-airport Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Stay: 1 days in the hospital |
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| Skin / Areola / Nipple-Sparing Mastectomy with Axillary Dissection | Memorial Göztepe Hospital | USD 12760Bookimed offer, Oct 2026 |
What the programme includesSkin / Areola / Nipple-Sparing Mastectomy with Axillary Dissection Included: Breast cancer surgery Included: Transfer airport-hotel-clinic-airport Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Stay: 1 days in the hospital |
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| Modified Radical Mastectomy (Including Axillary Dissection) | Memorial Göztepe Hospital | USD 14440Bookimed offer, Oct 2026 |
What the programme includesModified Radical Mastectomy (Including Axillary Dissection) Included: Breast cancer surgery Included: Transfer airport-hotel-clinic-airport Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Stay: 2 days in the hospital |
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| Segmental Mastectomy with Axillary Dissection | Memorial Göztepe Hospital | USD 14440Bookimed offer, Oct 2026 |
What the programme includesSegmental Mastectomy with Axillary Dissection Included: Breast cancer surgery Included: Transfer airport-hotel-clinic-airport Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Stay: 2 days in the hospital |
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| Public programme | Clinic | Recorded price | Programme details | Request a quote |
|---|---|---|---|---|
| Skin / Areola / Nipple-Sparing Mastectomy with Sentinel Lymph Node Biopsy | Memorial Şişli Hospital | USD 11980Bookimed offer, Oct 2026 |
What the programme includesSkin / Areola / Nipple-Sparing Mastectomy with Sentinel Lymph Node Biopsy Included: Breast cancer surgery Included: Transfer airport-hotel-clinic-airport Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Stay: 1 days in the hospital |
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| Skin / Areola / Nipple-Sparing Mastectomy with Axillary Dissection | Memorial Şişli Hospital | USD 12760Bookimed offer, Oct 2026 |
What the programme includesSkin / Areola / Nipple-Sparing Mastectomy with Axillary Dissection Included: Breast cancer surgery Included: Transfer airport-hotel-clinic-airport Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Stay: 1 days in the hospital |
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| Modified Radical Mastectomy (Including Axillary Dissection) | Memorial Şişli Hospital | USD 14440Bookimed offer, Oct 2026 |
What the programme includesModified Radical Mastectomy (Including Axillary Dissection) Included: Breast cancer surgery Included: Transfer airport-hotel-clinic-airport Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Stay: 2 days in the hospital |
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| Segmental Mastectomy with Axillary Dissection | Memorial Şişli Hospital | USD 14440Bookimed offer, Oct 2026 |
What the programme includesSegmental Mastectomy with Axillary Dissection Included: Breast cancer surgery Included: Transfer airport-hotel-clinic-airport Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Stay: 2 days in the hospital |
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| Public programme | Clinic | Recorded price | Programme details | Request a quote |
|---|---|---|---|---|
| Skin / Areola / Nipple-Sparing Mastectomy with Sentinel Lymph Node Biopsy | Memorial Bahçelievler Hospital | USD 11980Bookimed offer, Oct 2026 |
What the programme includesSkin / Areola / Nipple-Sparing Mastectomy with Sentinel Lymph Node Biopsy Included: Breast cancer surgery Included: Transfer airport-hotel-clinic-airport Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Stay: 1 days in the hospital |
Ask about treatment |
| Skin / Areola / Nipple-Sparing Mastectomy with Axillary Dissection | Memorial Bahçelievler Hospital | USD 12760Bookimed offer, Oct 2026 |
What the programme includesSkin / Areola / Nipple-Sparing Mastectomy with Axillary Dissection Included: Breast cancer surgery Included: Transfer airport-hotel-clinic-airport Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Stay: 1 days in the hospital |
Ask about treatment |
| Modified Radical Mastectomy (Including Axillary Dissection) | Memorial Bahçelievler Hospital | USD 14440Bookimed offer, Oct 2026 |
What the programme includesModified Radical Mastectomy (Including Axillary Dissection) Included: Breast cancer surgery Included: Transfer airport-hotel-clinic-airport Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Stay: 2 days in the hospital |
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| Segmental Mastectomy with Axillary Dissection | Memorial Bahçelievler Hospital | USD 14440Bookimed offer, Oct 2026 |
What the programme includesSegmental Mastectomy with Axillary Dissection Included: Breast cancer surgery Included: Transfer airport-hotel-clinic-airport Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Stay: 2 days in the hospital |
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| Public programme | Clinic | Recorded price | Programme details | Request a quote |
|---|---|---|---|---|
| Skin / Areola / Nipple-Sparing Mastectomy with Sentinel Lymph Node Biopsy | Memorial Ataşehir Hospital | USD 11980Bookimed offer, Oct 2026 |
What the programme includesSkin / Areola / Nipple-Sparing Mastectomy with Sentinel Lymph Node Biopsy Included: Breast cancer surgery Included: Transfer airport-hotel-clinic-airport Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Stay: 1 days in the hospital |
Ask about treatment |
| Skin / Areola / Nipple-Sparing Mastectomy with Axillary Dissection | Memorial Ataşehir Hospital | USD 12760Bookimed offer, Oct 2026 |
What the programme includesSkin / Areola / Nipple-Sparing Mastectomy with Axillary Dissection Included: Breast cancer surgery Included: Transfer airport-hotel-clinic-airport Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Stay: 1 days in the hospital |
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| Modified Radical Mastectomy (Including Axillary Dissection) | Memorial Ataşehir Hospital | USD 14440Bookimed offer, Oct 2026 |
What the programme includesModified Radical Mastectomy (Including Axillary Dissection) Included: Breast cancer surgery Included: Transfer airport-hotel-clinic-airport Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Stay: 2 days in the hospital |
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| Segmental Mastectomy with Axillary Dissection | Memorial Ataşehir Hospital | USD 14440Bookimed offer, Oct 2026 |
What the programme includesSegmental Mastectomy with Axillary Dissection Included: Breast cancer surgery Included: Transfer airport-hotel-clinic-airport Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Stay: 2 days in the hospital |
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| Public programme | Clinic | Recorded price | Programme details | Request a quote |
|---|---|---|---|---|
| Breast Cancer MDT Treatment Program — Shanghai Tongji Hospital | Shanghai Tongji Hospital, International Department | USD 48240Bookimed offer, Oct 2026 |
What the programme includesBreast Cancer MDT Treatment Program — Shanghai Tongji Hospital Included: Ultrasound Included: Consultation with an oncologist Included: Consultation with creation of treatment plan Included: CT (computer tomography) Included: Lab tests Included: Mammography Included: Radiotherapy Included: Breast cancer surgery Included: Tomotherapy Excluded: Airfare Excluded: Additional activities not included Excluded: Accommodation is not included Excluded: Transfer is not included |
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Free Bookimed support. Compare options before deciding.
Free Bookimed support. Compare options before deciding.