Hi @Judithm the initial decision making process I found to be just so overwhelming. I had a mastectomy last November for DCIS and small tumor - very low grade so no chemo required thank goodness. I didn't have reconstruction at the time but now regret that, everything was so full on and rushed and my surgeon sort of talked me out of it. Life now as a mono-boobed lady is ok but as someone said on the forum in the last few days the scar is like a constant daily reminder that I had breast cancer. Now to go back and have reco - I would like to go with a DIEP reco has quite a few issues - it's another big surgery, time of work and recovery and the cost (my surgeon said it would cost between $5-$10k out of pocket). It's such a big decision to make and I think the affect that it has on you mentally is so underestimated until after the event. At the end of the day it is your body and you have to decide how you want to look and feel. good luck xx