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Since April 1990, we have been aggressively performing immediate breast reconstruction using the rectus abdominis myocutaneous flap mainly. Patients undergoing breast reconstruction and those without reconstruction in the same period were subjected to a questionnaire survey to investigate the merits and demenrits of this procedure. In the 3-year period after 1990, 184 patients with breast cancer received mastectomy and 126 out of the 184 patients underwent immediate breast reconstruction, the reconstruc-tion rate being 68.5%. Questionnaire from was mailed to 180 patients and the form filled but unsigned was sent back from 144 (80%) patients. Patients who replied that it was nice to receive reconstruction represented 71% of all responders; and 88% of them were almost satisfied with their reconstruction. In particular, patients with reconstruction appreciated the procedure in that they could wear clothes as usual as they did before mastectomy and they could behave without an inferiority complex as a woman in most times. However, there was no significant difference between patient groups with and without reconstruc-tion in social positiveness. And 74% of patients with reconstruction replied that they bothered about surgical wound in the abdomen; that would be a problem in future. It can be concludedthat immediate breast reconstruction is vey helpful to improve the quality of life for breast cancer patients.