Objective: The study sought to offer insightful perspectives into the complex decision-making process regarding breast nodules. The research was conducted with the intention of advancing our knowledge of patient preferences and assisting healthcare professionals in providing patient- centered care, individualized treatment plans, and effective communication to maximize patient satisfaction and wellbeing. Methods: From January 2023 to June 2023, this cross- sectional study, carried out at a general surgery opd/ward MMC-MTI, sought to explore surgical preferences for breast nodules among breast carcinoma patients undergoing mastectomy and to identify factors influencing these decisions. 42 patients in all were enrolled, 8 of them selected breast nodule surgery while 34 did not. The decision-making process was influenced by a number of issues, such as worry about recurrence, worries about time-consuming surgical procedures, and disregard for body image, financial limitations, and previous unsuccessful reconstructive results. Results: 28 patients had right-sided disease, 13 had left- sided cancer, and 1 had bilateral involvement, according to disease features. Furthermore, 25 individuals had N0 disease, while 17 had N1 disease, according to nodal staging. 8 patients decided to underwent for breast reconstruction while 34 patients decided to forgo PMBR. Conclusion: This study provides insightful information about the complex decision-making process involving breast nodules surgery in individuals with breast cancer. The identified characteristics give healthcare professionals a framework on which to build strategies that guarantee patients receive educated and individualized care, thereby improving patient happiness and quality of life in general.

Keywords : Breast, Tumor, Surgery, Lymph Node, Reconstruction, Aesthetic.