Breast cancer is the most common cancer in women in Croatia. Thanks to modern diagnostics and national program of early detection of breast cancer, tumors today are diagnosed in earlier stage, which has favorable effect on the prognosis of disease, but also on the possibilities of surgical treatment. Surgical treatment of breast cancer is progressing rapidly, from breast conserving surgical procedures to skin sparing mastectomies and primary reconstruction of removed breast which became the standard of modern surgical treatment. Apart from the primary reconstruction, patients are offered the opportunity of secondary reconstruction. In patients with early breast cancer (T1 and T2 stage), skin sparing mastectomy followed with breast reconstruction is a safe method from oncologic viewpoint and from the aspect of patient, it reduces psychological trauma that is associated with removal of the entire breast (feeling of mutilation, depression, decreased sexuality). This method also gives plastic surgeons ability to achieve excellent aesthetic appearance of new breast.Rak dojke najčešći je rak u žena u Hrvatskoj. Zahvaljujući suvremenoj dijagnostici i nacionalnom probiru u mogućnosti smo otkrivati rak dojke u ranijoj fazi. Važnost rane dijagnostike povoljno utječe ne samo na prognozu bolesti, već i na mogućnost odabira optimalnog kirurškog zahvata s kojim i počinje liječenje u žena s rakom dojke. Od kirurških zahvata u obzir dolaze poštedni zahvati na dojci, od mastektomije s poštedom kože i primarnom rekonstrukcijom do sekundarnih rekonstrukcija. U svih bolesnica s T1 i T2 tumorom, mastektomija s poštedom kože i primarnom rekonstrukcijom kirurški je postupak koji nudi jednaku onkološku sigurnost kao i standardna mastektomija, a nakon primarne rekonstrukcije u bolesnica se umanjuje psihološka trauma, koje tim zahvatom ne gube osjećaj ženstvenosti. ženama se također vraća povjerenje u vlastito tijelo, a samim time i odnos prema partneru te drugima u zajednici
