During the last century, breast reconstruction after mastectomy has become an important part of comprehensive treatment for patients who have breast cancer. comparison patients after delayed breast reconstruction Following Mastectomy Utilisting transverse Rectus Abdominis Myocutaneous Flap Versus Latissimus Dorsi Flap Reconstruction due to breast cancer. This study include 22 patients with surgical history of modified radical mastectomy and operated for delayed breast reconstruction with pedicled TRAM flap and pedicled LD flap . comparative study between to type of flap in many items such as operative time (in minutes), length of hospital stay (in days), post operative complications and hospital readmission, patient satisfaction. latissimus dorsi flap however its limitation of patient selection is low than pedicled tram in hostipal stay and flap necrosis without major doner site complication of abdominal bluging and with low incidence of systemic complication of DVT and pulmonary embolism. TRAM procedure is good for patient adequate lower abdominal wall tissue who desire abdominoplastic result beside breast reconstruction.