Mastectomy vs. Lumpectomy — What’s Safer? What’s Right?

— A Re-Femme Guide for Women Facing Surgical Decisions

One of the most overwhelming moments after a breast cancer diagnosis is hearing the words: “You can choose between a lumpectomy or a mastectomy.”

Suddenly you’re not just processing cancer — you’re being asked to make a life-altering decision about your body, your future, and your sense of self.

If you’re feeling frozen, confused, or scared, you are not behind. You are human. This guide is here to gently walk you through what each option means — and why “safer” isn’t always a black-and-white answer.

What Is a Lumpectomy?

A lumpectomy removes the tumor and a small margin of surrounding tissue — but keeps the majority of your breast intact.

It is often followed by radiation.

• Preserves the breast’s appearance
• Shorter recovery time
• Requires radiation in most cases
• May need additional surgery if margins aren’t clear

What Is a Mastectomy?

A mastectomy removes the entire breast. Some women choose a single mastectomy; others choose bilateral (both breasts).

• Longer recovery time
• May reduce the need for radiation
• Can include reconstruction — immediately or later
• May offer peace of mind for women with genetic risk

Is One Safer Than the Other?

For many early-stage cancers, survival rates are the same. Lumpectomy with radiation is often just as effective as mastectomy. The difference is how the journey feels — physically and emotionally.

Why Women Choose Different Paths

• Family history or genetic mutation (BRCA1/2)
• Fear of recurrence
• Comfort level with ongoing imaging
• Desire to avoid radiation
• Body image and identity
• How much uncertainty they can emotionally carry

There is no “right” choice — only the one that lets you breathe easier in your own body.

A Powerful Way to Support Yourself Through Surgery

Surgery brings needs no one prepares you for — drains, pillows, clothing, meals, childcare, emotional exhaustion.

With Re-Femme, you can build a personalized registry so you don’t have to explain what you need when you’re already depleted.

• Post-op comfort items
• Meal delivery gift cards
• Recovery clothing
• Wig or cold-capping funds
• Cleaning or childcare support