Thirty studies met the inclusion criteria (n at least 4,064; range 11 to 1,221): 28 related to patient satisfaction; and two to pain management. One study was a randomised controlled trial (RCT) (n=75), 17 studies randomly selected patients and 12 studies did not report on selection or were convenience samples. All studies reported high levels of patient satisfaction regardless of the technique used. Factors influencing satisfaction were breast symmetry (two studies), procedure type (two studies), overall cosmesis (two studies), breast size and shape (two studies), scars (two studies) and nipple reconstruction (four studies). Complications were an indicator of dissatisfaction in two studies.