**1. Introduction**

The breast is a vital organ of women which not only has functional importance but also provides femininity to the individual. Loss of breasts following mastectomy especially post cancer affects women's health functionally and psychologically. Apart from cancer, the breast can also be scarred, or affected partially or totally in case of burn or trauma. Every effort should be made to offer reconstruction in mastectomy or patients with breast deformities.

The various options described for breast reconstruction are LD (latissimus dorsi) flap, TRAM (Transverse rectus abdominis myo-cutaneous) flap, DIEAP (Deep inferior epigastric artery perforator) flap, and expander implant techniques. With the advancement in microsurgery, the free flaps have become the gold standard in breast reconstruction. Before planning the reconstruction of the breast, reconstructive surgeons should examine the patient as a whole, discuss the various options with advantages and disadvantages of each technique, and offer a complete reconstruction including breast mound and nipple-areola reconstruction to the patients. The same should be discussed with oncosurgeons regarding the staging of disease and the extent of resection of diseased parts.

We have aimed to provide an overview of all options available for breast reconstruction so that readers will be able to execute the planning for breast reconstruction knowing the indications and contraindications of using a particular flap, surgical techniques of flap elevations, and post-operative care and management.
