The aim of this study is to evaluate the results of immediate breast reconstruction from the viewpoint of both the surgeon and the patient. Between 1993 and 2001, 122 patients underwent immediate breast reconstruction. The morphological results were evaluated by the surgical team based on visuals. The patients responded to a questionnaire (77 answers, mean follow up 4.7years). Both groups gave ratings from 0 to 10. The ratings were compared between the two groups surgeon/patients and according to the mastectomy techniques (Patey versus skin sparing mastectomy) and to the reconstruction techniques (prosthesis versus autologous flaps). There was a difference in the evaluation of the surgeons and the patients; surgeons preferred flaps while the patients favoured a simple technique with prosthesis.