Hi, Tram flap surgery is a type of breast reconstruction surgery that uses a flap of skin, fat, and muscle from the abdomen to create a new breast mound after a mastectomy. There are potential complications and risks associated with this procedure, similar to any other surgery. Some of the common risks of tram flap surgery include: - Bleeding - Infection - Blood clots - Delayed wound healing - Numbness or loss of sensation in the breast or abdominal area - Muscle weakness or abdominal wall hernia Seroma formation (fluid accumulation under the skin) - Fat necrosis (death of fat cells) It s important to note that these risks can vary depending on the individual patient s health and medical history, as well as the skill and experience of the surgeon performing the procedure. In terms of the horror stories you ve heard about tram flap surgery, it s important to keep in mind that not all experiences are the same. While there are risks associated with any surgery, many women have had successful outcomes with tram flap surgery and are happy with the results. If you have concerns about silicone implants, it s worth discussing alternative options with your surgeon. Tram flap surgery does not involve the use of silicone implants, as the new breast mound is created using your tissue. Ultimately, the decision to undergo tram flap surgery should be made after careful consideration and consultation with your healthcare team. They can help you weigh the potential risks and benefits of the procedure and determine whether it s the right choice for you. If you require a personalized response, kindly use the Ask A Doctor service and post a follow-up. Take care. Hope I have answered your question. Regards, Dr. Priyanka, General & Family Physician