The combined team is grouped around a surgical teaching unit of Wits University that comprises 3 consultants and 2 registrars, 3 medical officers and 4 Interns. We service Southern Johannesburg, Soweto and surrounding areas, with an estimated population of 3 millions. We deal with a socially disadvantaged population with difficult access to health care. Further challenges are poverty, ignorance, stigma, transport problems and a poor primary health referral system. We attempt to help by implementing an open door policy to our clinic, providing health education at every opportunity for patients and primary health care providers and cooperating with NGOs. Our out-patient clinic runs weekly and sees an average of 180 patients. Once diagnosed our current waiting time for surgery is one week. Wherever feasible and preferred we offer breast conserving and reconstructive surgery. We run two combined meetings per week with allied specialists based at our institution and at the Charlotte Maxeke Johannesburg Academic Hospital where our patients receive their adjuvant Chemo- and Radiotherapy. We are involved in several research projects with local and international research partners.