Despite guidance issued in 2002 saying women should be offered the surgery, the National Institute of Health and Clinical Excellence (Nice) says nine out of ten women are still undergoing more than one operation.
As a result Nice has issued new guidance that states unless there are clinical reasons, all women must be offered immediate reconstruction at the same time as breast removal surgery, even if it is not available in their local area.
Figures show just 1,561 (11%) women had a mastectomy with immediate breast reconstruction in 2005/06, while 12,291 women (89%) who had a mastectomy did so without immediate reconstruction.
The first report of the National Mastectomy and Breast Reconstruction Audit for England and Wales, which was published last year, reviewed access to reconstruction services and found it was `not uniform` across England and Wales.
It found a total of 39 English NHS Trusts (26%) which performed mastectomy surgery in 2005/06 did not also provide immediate reconstruction.
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