Hi. What I meant was that it is impossible to know, in this case, why the decision was made. When I wrote "facts" I meant just that we don't have the underlying reason(s) to take the decision. We aren't able to answer all questions since we don't have the possibility to read the hospital records and is not involved in the direct care, so the answers will be quite general. Sometimes we have enough "facts" about the situation (written by the patient) that we can give a more specific answer, but we often have to refer to the patients surgeon/oncologist etc for more specific questions, such as "why did they do like this". I still think that your caregiver should give you the explanation. In addition: There are many factors to consider when deciding if and how a breast can be reconstructed. Sometimes, not all methods are suitable and we, as an expert panel do not have all access to all these factors (nor should we). Patients do not have the right to demand a certain teatment or surgical procedure. The surgeon has the responsibility to perform (or not perform) the treatment that he or she deems to be the best safe option after considering all factors. However, you have the right to get an explanation from your surgeon. /Yvette Andersson (breast surgeon).