What to Expect in Breast Surgery: Your Guide to Every Step

Facing breast surgery can feel overwhelming, whether it’s for a breast lump, cancer, reconstruction, or peace of mind. If you’re a woman in Karachi, it’s normal to have questions and worries about the process, recovery, and outcomes. 

The best way to prepare yourself is with accurate information, a caring team, and confidence in your surgical plan.

According to BreastCancer.org, breast surgery is one of the most common procedures for women worldwide, and outcomes continue to improve thanks to advances in medical techniques and team-based care. 

At South City Hospital’s Breast Surgery Department, you’ll find supportive, expert care from your very first visit through full recovery.

Types of Breast Surgery: Finding the Right Path

Your breast surgeon will guide you toward the right procedure for your diagnosis and goals. Common types include:

• Lumpectomy: Removal of a lump or tumor, preserving as much healthy breast tissue as possible. Often recommended for early-stage cancers or benign lumps.
• Mastectomy: Surgical removal of the whole breast. This may be needed for larger or more aggressive cancers, or if there’s a strong family history.
• Breast reconstruction: Restores shape and appearance after mastectomy or trauma. Can be done with implants or your own tissue.
• Sentinel lymph node biopsy: Checks if cancer has spread beyond the breast.
• Excision of benign lesions or cysts: Removes non-cancerous growths that cause pain or worry.
• Oncoplastic surgery: Combines cancer surgery with cosmetic techniques for the best possible results.

Every case is unique. Your surgeon will review your medical history, exam results, and personal wishes before recommending a treatment plan.

The Consultation: Your Personal Roadmap

The consultation is a safe space for you to share your story and get answers. Here’s what usually happens:

• Detailed review of your health: Your surgeon will look at your personal and family medical history, previous imaging (like mammograms), and any biopsy results.
• Physical exam: Focuses on the area of concern and checks nearby lymph nodes.
• Discussion of goals and worries: You’ll talk about what matters most to you—whether it’s appearance, recovery time, or specific fears.
• Explanation of all surgical options: The surgeon will describe the different approaches, risks, and expected results for each.
• Time for your questions: No concern is too small—bring a list if it helps.

Questions to consider asking:

• What type of surgery do you recommend for me and why?
• What are the risks and benefits?
• How long will the recovery take?
• Will I need further treatment, like chemotherapy or radiation?
• What are the chances of the cancer returning?

Your care team will always respect your choices and give you honest, evidence-based advice.

Preparing for Surgery: Setting Yourself Up for Success

Preparation is both physical and mental. Here’s what to expect in the days and weeks before your operation:

• Tests and imaging: You may need blood work, a chest X-ray, ECG, or new breast imaging.
• Medication review: Some medicines may need to be stopped or adjusted, such as blood thinners.
• Fasting and hygiene: You’ll receive clear instructions on when to stop eating/drinking and how to prepare your skin for surgery.
• Practical planning: Arrange for someone to take you home and help out in the first few days.

Emotional prep:
It’s normal to feel anxious. Talk openly with your care team or counselor, and connect with support groups if possible. South City Hospital offers access to both emotional and practical support services for women preparing for breast surgery.

The Day of Surgery: A Step-By-Step Guide

When surgery day arrives:

• Arrival and admission: Arrive early for final paperwork and checks. You’ll meet your nurse, surgeon, and anesthesiologist, who will review the plan with you.
• Pre-op area: You’ll change into a hospital gown and have an IV started for fluids and medicines. Your team will ensure you’re as comfortable as possible.
• The procedure: Once you’re asleep under anesthesia, your surgeon will perform the planned operation. The length varies by procedure—lumpectomies may take under an hour, while mastectomies and reconstructions take longer.
• Recovery room: You’ll wake up in a monitored recovery area, with nurses tracking your pain, comfort, and vital signs.
• Going home: Many women return home the same day; others may stay overnight for observation.

Your care team will explain what happened, how things went, and what to expect next.

Recovery and Aftercare: What Happens Next?

Your journey doesn’t end when you leave the hospital. Healing at home is just as important. Here’s what you can expect:

• Pain management: Most women need only mild pain relievers. Your team will give you a schedule and tips for staying comfortable.
• Wound care: You’ll receive step-by-step instructions for keeping your incision clean and spotting signs of infection. Avoid heavy lifting, stretching, or vigorous activity until cleared by your surgeon.
• Daily activity: Gentle movement and walking are encouraged early on. Most women resume basic activities in days, returning to work or exercise in a week or two.
• Follow-up visits: You’ll have scheduled appointments to remove stitches, check healing, and discuss any pathology results.

When to call your doctor:
If you notice fever, redness, swelling, unusual pain, or discharge from the incision, contact your care team right away.

Find more details on NHS breast surgery recovery.

Emotional Support, Counseling, and Rehabilitation

Breast surgery impacts more than your body. Emotional support and a positive environment are vital for recovery.

• Support groups: Connect with women who’ve gone through similar experiences—South City Hospital can refer you.
• Counseling: Professional counselors can help you process emotions, fears, and the impact of surgery on self-image or relationships.
• Physical therapy: For shoulder or arm mobility, especially after lymph node removal, tailored exercises make a huge difference.

Remember, it’s okay to ask for help. Many women benefit from both emotional and physical rehab.

Helping Family and Caregivers Support You

Recovery is easier when your loved ones understand what you need:

• Ask for help with daily tasks, especially in the first week
• Be open about your emotions; let others know how to support you
• Share your care team’s contact info so family can help if you have concerns

Meet Dr. Shaista Masood Khan — Breast & Endocrine Surgeon at South City Hospital

When it comes to breast surgery, experience and trust make a difference.
Dr. Shaista Masood Khan is a top breast and endocrine surgeon at South City Hospital, specializing in breast diseases, breast cancer surgery, and minimally invasive procedures. She is known for her clear communication, empathy, and commitment to supporting women throughout diagnosis, treatment, and recovery.

Learn more or book your consultation with Dr. Shaista Masood Khan here.

When to Book a Consultation

If you’ve noticed a lump, pain, changes in your breast, or received a diagnosis, early evaluation is key.
Book your appointment with South City Hospital’s Breast Surgery Department today.

Frequently Asked Questions (FAQ) About Breast Surgery

Q: How long is the recovery from breast surgery?
A: Most women are able to return to daily activities within 7–14 days, but full recovery depends on the procedure.

Q: Will I have a scar?
A: Scarring is minimized as much as possible. Your surgeon will explain what to expect and how to care for the wound.

Q: Is breast cancer surgery safe?
A: Breast surgery is very safe when performed by an experienced team in an accredited hospital.

Q: Can I have breast reconstruction after cancer surgery?
A: Yes, reconstruction options are available and can often be done at the same time or after recovery.Q: Will I need radiation or chemotherapy?
A: Your care plan is unique. Some women need only surgery; others may need additional treatment.