Abstract Background: Goldilocks mastectomy procedure was de-scribed in 2012. This procedure uses the redundant inferior mastectomy flap tissue to construct a breast mound. Aim of Study: To assess the feasibility of Goldilocks mastectomy procedure in breast cancer patients, and to identify the aesthetic outcomes, and the complications of the Goldilocks mastectomy. Patients and Methods: This was a pilot prospective study, carried out at the Breast Surgery Department, Ain Shams University Hospitals. Fifteen female patients candidates for mastectomy underwent Goldilocks mastectomy. Results: The mean age was 40.5 years old, most of them 66.66% were diagnosed with invasive ductal carcinoma. Only 60% of the patients accepted the contralateral breast mammo-plasty. All resection margins were free in the postoperative paraffin section. Only one patient developed a seroma and only two patients developed minor complications, managed conservatively. Psychological and physical well-being slightly improved after the surgery. The Multidisciplinary Team ranked the procedure results between very good and excellent. Conclusion: Goldilocks mastectomy is a feasible procedure with accepted results and low complicated rates. However, comparative multicentric studies with larger cohorts and longer follow-up periods are needed.