This study deal with the problem of breast hypertrophy in combination with benign breast lesions, where huge breasts are predominant and bilateral reduction mammoplasty with lumpectomy is the treatment. In period from January 2009 to march 2011 ten cases were done. Twenty breast reduction mammoplasty and ten lumpectomy were performed .four types of pedicles were used. Supero-medial pedicle was used in three patients, inferior pedicle was used in three patients, free nipple graft was used in two patients and superior pedicle was used in two patients. According to site of lesion and breast size the type of pedicle was chosen. In the case of a superiorly located tumor in the breast, the inferior pedicle technique is preferable because a wide field for tumor resection is obtained after dissection of the inferiorly pedicle flap and the nipple-areola complex is left with a reliable blood supply. In the case of an inferiorly located tumor in the breast, the superior pedicle technique is recommended. The tumor is easily resected following elevation of the superior pedicle flap involving the nipple-areola complex and the separate inferiorly based de-epithelialised flap. The inferiorly based de epithelialised flap may be effectively used to create sufficient projection of the breast mound. There are three technical points to be mentioned. Firstly, it is important that the design of reduction mammaplasty is scheduled before any biopsy incision is made. Secondly, in reshaping the breast after tumour resection, the superior or inferior pedicle flap and nipple-areola complex should be placed with the patient in the sitting position to obtain symmetry. Thirdly, satisfactory results were obtained without either augmentation of the affected breast utilizing reduction mammoplasty of the contralateral breast; these additional procedures may be necessary if the residual breast tissue was not sufficient or the opposite breast excessively large. Demographic details, medical history and examination, operative details, hospital stay, histopathology report, early and late complications were retrieved from the case notes. Median follow-up was 6 months (Range 4-12 months).