在刀锋与伤疤之间：一名乳腺外科医生作为BRCA1携带者的旅程。

BRCA1 and BRCA2 mutations significantly increase lifetime risk of breast and ovarian cancers. Despite growing awareness, few Indian women opt for preventive risk-reducing surgery due to cultural stigma, lack of genetic counselling, and limited access to multidisciplinary care. This article presents a dual perspective-of a breast oncoplastic surgeon and BRCA1 mutation carrier-navigating the complex decision-making and lived experience of bilateral prophylactic nipple-sparing mastectomy with reconstruction. This is a personal reflective account combining professional and patient experiences. It