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She was offered a wide local excision and reconstruction with a latissimus dorsi pedicled flap. After much discussion and clarification of some misconceptions around breast reconstruction, she underwent the planned surgery. This was followed by adjuvant radiation therapy as the histopathology was consistent with a complex phyllodes tumour with close margins. She was well at 1-year follow-up and led a good family and social life. Breast conservation and reconstruction are seldom offered as part of cancer treatment in India. All women should be offered surgical options that are oncologically safe while preserving body image, and hence healthcare providers must work towards breaking the barriers that prevent breast reconstruction.<\/jats:p>","DOI":"10.1136\/bcr-2021-248322","type":"journal-article","created":{"date-parts":[[2022,7,21]],"date-time":"2022-07-21T11:31:55Z","timestamp":1658403115000},"page":"e248322","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Breast reconstruction following mastectomy in Indian women: a neglected entity"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1273-6712","authenticated-orcid":false,"given":"Royson","family":"Dsouza","sequence":"first","affiliation":[{"name":"General Surgery, ASHWINI Gudalur Adivasi Hospital, Vellore, 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