Objective: To study the acceptance of Breast conservation therapy (BCT) versus Modified radical Mastectomy and the factors affecting the decision regarding the choice of surgery. Methods: 45 patients out of 135 patients of carcinoma breast were identified who were fit for BCT. All of them were counselled and educated with options available BCT and MRM along with forms which explained the decision making factors and grading according to LIKERT scale. Results: Out of 45 patients 12 patients (26.67%) accepted BCT. Fear for recurrence, fear forresurgery and cost of radiotherapy were major factors for rejecting BCT which even overruled concern regarding body image. Conclusion: BCT can be accepted as a surgical choice for early breast carcinoma by many patients if awareness about early diagnosis and factors affecting decision making are addressed.

Keywords: Breast carcinoma, BCT.