This study was performed on 25 patients with operable breast cancer, all underwent Conservative breast surgery using 
three different approaches. In the first group, the Classic 2 incisions were used, a curved breast incision parallel to the areola and a transverse axillary incision. In the second group the axilla was evacuated through the curved breast incision, and in the third group the tumor was removed through the axillary incision. We compared the accessibility to the tumor and to the axillary contents, the rate of positive margins, the local recurrence and the cosmetic outcome.