When faced with such alarming news, patients just want to know "what to do". In the past, there were just not many choices to make. Traditional mastectomy was the only choice. While that choice remains a common choice of patients, many patients are able to have much less invasive procedures, much better chemotherapy options and radiation options. With an increase in understanding of Cancer Genetics, some patients may be able to avoid radiation and/or chemotherapy. It is our goal to provide a good basic understanding for our patients to assist them as they begin this journey.