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Back to Health A to Z. A mastectomy is an operation to remove a breast. It's used to treat breast cancer in women and breast cancer in men. Some women at high risk of breast cancer choose to have a mastectomy even when there's no sign of cancer. Before having a mastectomy, you will have the opportunity to discuss the operation with a specialist breast care nurse or surgeon. You can discuss how the procedure might affect you physically and emotionally. Your surgeon will discuss the type of mastectomy you'll have, the possible complications and the option of breast reconstruction. You may need to have chemotherapy or hormone therapy before the operation to reduce the size of any tumours. A mastectomy is carried out under general anaesthetic , so you'll be asleep while it happens. During the operation, a horizontal or diagonal cut is made across your breast so the tissue can be removed. The amount removed will depend on the type of mastectomy you're having. The surgeon will usually put one or two drainage tubes in place to stop fluid building up in the breast space. These may be left in for a few days.

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