Background: Breast cancer is regarded to be the most frequent and lethal female cancer in the world. Breast conservation is removing the primary breast cancer with a margin of healthy breast tissue (lumpectomy), removing the axilla, and receiving adjuvant radiation therapy with positive functional and esthetic results.

Aim: To evaluate oncological and aesthetic outcomes after oncoplastic surgery for early breast cancer.

Patients and methods: Patients diagnosed to have early stage breast cancer who were admitted to General Surgery Department, Zagazig University Hospital and patients with age <60 years, unilateral, solitary tumors, early stage size of tumor ˂ 5cm ((T1/T2, N0/N1, AJCC TNM Classification 2010) were included in the study. Results for aesthetic and oncological purposes were assessed.

Results: Majority of tumours were grade 2 with 56.7% , 73.3% had vascular invasion, all had free safety margin, 53.3% had Axillary involvement. 30% had complication all of them had seroma, and 3 cases had infection. Satisfaction score of subjective assessment was 6.8±1.01, 20% were excellent and 36.7% were good and 43.3% were poor and regarding objective assessment parameters and score distribution 26.7% were excellent and 63.3% were good and 10% were poor.

Conclusion: Techniques for oncoplastic breast surgery achieve adequate safety margin with better aesthetic outcomes with minimal complication.