Valduce Hospital is a local district hospital, located in Como city centre and serving Como lake area and its surroundings. Our Breast Service receives referrals from local GPs as well as from its dedicated Breast Screening Unit; 1600 new referrals are seen per year. Outpatient clinics allow urgent referrals to be seen within 7 days and all patients have appointments in 4 weeks. We treat surgically about 190 new breast cancers per year, along with surgery for benign breast disease. We offer a full range of operations for breast cancer, including conservative surgery with SN biopsy, immediate reconstruction following radical surgery and oncoplastic procedures (remodelling, lipofilling, contralateral symmetrisation and nipple areola reconstruction). The service is provided by a Multidisciplinary Team, consisting of Breast Surgeons, Breast Radiologists, Pathologist, Clinical Oncologist and Radiotherapist. The Breast Cancer Screening Programme is well established and provides 15,000 mammograms/year. Adjuvant treatments are discussed at our weekly MDT meetings: chemotherapy is given on site while radiation therapy (incl APB Radiation) is provided at our regional Radiotherapy centre.