The overriding goal of reconstructive breast surgery is to satisfy the patient with respect to her own self-image and expectations. Ultimately, individualized selection of a reconstructive technique for each patient will be a predominant factor in achieving a reconstructive success. The authors reviewed their institutional experience with postmastectomy reconstruction over the past 2 years and discuss indications, contraindications, advantages, and disadvantages of autogenous tissue and prosthetic breast reconstruction.