It indicates the intervention with which the breast of excessive congenital or secondary dimensions to weight gain, taking medications or hormone treatments, is reduced. The techniques I use to perform this type of surgery are numerous and an indication of the various technical changes depending on the size, the associated ptosis and shape of the breast to be reduced. My philosophy in the choice of technique is the following: try to give the most natural breast shape by the surgical intervention that involves the least possible trauma and the least amount of scars. The intervention takes place in about 2 hours under general anesthesia.