Breast is an important sign of femininity; hence it is a great disaster for females to amputate it in cancer treatment reflecting these effects such as deviations deeply disturb both the patient's perception of her body as well as her emotional balance, together with reducing patient's self-esteem and well being. The evolution of safe and effective predictable reconstructive techniques have been coupled with better understanding of tumor biology and increased availability of plastic surgical expertise. The most ambitious and difficult goal in breast reconstruction is giving the patient the best chance for management of her cancer regarding the oncological safety of the procedure and best cosmetic result with no increase in the overall complications and no delay in completion of the adjuvant therapy. Immediate breast reconstruction has the upper hand on the late reconstruction for both the doctor and the patient, as it helps rapid restoration of psychological and physical status of the patient and makes the-procedure of reconstruction more efficient with no delay in the diagnosis or management of local recurrence and no interference with the subsequent adjuvant treatment. But, still the delayed breast reconstruction providing the safest results especially after 2 years of being disease free, metastases free, avoiding flap fat necrosis, flap shrinkage or implant capsular contracture due to radiotherapy without interference with irradiation delivery or side effects of chemotherapy; lowered immunity or infection. Autologous reconstruction with the TRAM flap or latissimus dorsi flap is currently the best option of breast reconstruction for patients Summary and conclusion 233 undergoing radiation therapy. Autologous tissue provides wellvascularized tissue, and additional skin can be brought into the area. The result is a breast form that improves with age and has a warm, natural feel. By this we can gain  Safe.  Satisfactory.  Aesthetic (volume, contour, projection, symmetry, NAC) reconstructed breast.