You will need a more thorough history and breast exam when you and she meet. Was the surgery before or after her last pregnancy and lactation? Specifically what was her experience during the previous lactation? Milk coming in? Infant weight loss and gain, jaundice, what interventions were used, what worked and what didn't etc. Was the surgery in just one breast, and what does the other one look and feel like? Normal or not? I have a client with assymetry, wide spacing of breasts and one breast appears normal however the milk production is low. Complicated by a premature infant. My approach to your mother would be that she is at high risk of lower milk production due to the history of breast assymetry, one breast underdeveloped, needed to supplement throughout the first lactation. The reason for the surgery (breast hypoplasia, for example) and the actual surgery (where incisions were made etc) are both risk factors. This mother will need excellent bf practices and support, probably early intervention to maximize production, and early, and close followup. Laurie Wheeler, RN, MN, IBCLC MISSISSIPPI USA *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html Mail all commands to [log in to unmask] To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or [log in to unmask]) To unsubscribe: unsubscribe lactnet or ([log in to unmask]) To reach list owners: [log in to unmask]