Introduction:Breast Conservation Surgery is now widely accepted as main choice in early breast cancer.Ptient undergoing breast-conserving surgery have not had adequate evaluation of their reconstructive needs. Purpose:1)To evaluate the reconstructive needs for patients undergoing breast conservative surgery & radiation for breast cancer.2)To compare the3 different perspective of the patient,oncologic surgeon and plastic surgeon, interms of their respectives views of the degree of breast deformity and need for reconstruction.Methods &Materials: Retorspective clinical study on patient undergone breast conserving mastectomy at McGill Breast Cancer Centre . Fifty patients were enrolled in this study. The degree of deformity and the need for reconstruction were assessed from 3 different view points using:1) a questionnaire for patient, oncologic surgeon and plastic surgeon.2)Standardized physical exammination by both the oncologic surgeon and plastic surgeon. Results & Conclusion: A large number of patients 52% have breast deformity .Mostly association with amount of breast tissue volume resected, radiation, chemotherapy and the age of the patient. Most of patient not made aware of the potential deformities by their oncologic surgeons. We feel that better results and better patient satisfaction can be achieved by developing a combined plastic surgeon and oncologic surgeon team approach to breast cancer patient treatment.