Breast reconstruction following mastectomy is a feasible and viable option to help restore the body shape and image of a patient. There are multiple surgical procedures for the reconstruction of the female breast, including the use of a mammary saline prosthesis or various autogenous tissues with myocutaneous flaps. These different approaches, together with possible risks and complications, should be discussed with the patient before the mastectomy is performed. A consensual approach must be taken that best fits the patient's needs and expectations, either as an immediate reconstruction or as a delayed procedure, should the patient opt for reconstruction. Breast reconstruction is a common procedure in North America. As Hong Kong patients become better informed, the demand for breast reconstruction can be expected to increase.