We begin therapy with the patient before their mastectomy. Pre-Operative education and measuements are done at the pre-op initial visit. These measurements are important to monitor the possible developement of lymphadema, or swelling, after surgery. One to two weeks after your surgery, therapy begins as long as there are no complications such as illness or infection. We use myofascial release to improve scar mobilization, facilitate lymphmatic pathways to prevent lymphadema, and teach appropriate range of motion exercises. Tissue and muscle extensibility on the chest wall is important for pain relief, arm range of motion, posture, and success with agumentation. Physical therapy started early will help faciliate the best outcomes after mastectomy.