The breast is a very important part of a woman’s identity giving her a sense of femininity. Exactly what this means in practice varies between women. The size and shape are the most important considerations and a detailed consultation is needed to assess the patient’s personal preferences. The next stage is to consider how closely these individual wishes can be fulfilled. A woman’s breasts may be too small, too large, too droopy or empty or simply different to each other. Each situation requires a different approach.