We believe that aesthetic flat closure should be given the same consideration as other reconstructive options. Here’s how we’re going to get there! Want to get involved? NPOAS runs on volunteer effort – contact us today to learn how you can help.
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Putting FLAT on the Menu
An introduction to who we are and what we do at Not Putting on a Shirt.
New York State Bill

A simple amendment to New York state law, now State Law 571, now ensures insurance coverage for patients in the state of New York who are seeking aesthetic flat closure. (Learn More)
The success of this bill will be a stepping stone to the federal WHCRA amendment that will protect patients across the nation.
WHCRA Amendment

A simple amendment to the WHCRA (Womens Health and Cancer Rights Act) will ensure insurance coverage for patients seeking aesthetic flat closure. (Learn More)
Individuals can sign our Care2 petition, write to their legislators, and more! And organizations can join our coalition to support the amendment.
AFC Surgical Photo Database

The new AFC Surgical Photo Database is a library of before and after surgical photos that is indexed and filterable by multiple criteria (ex. body habitus, patient demographics, surgeon information, etc.).
All surgical photos in this curated, open-sourced tool are contributed by surgeons. Surgeons can use the Database to manage patient expectations and share their work. Patients can use it as a decision aid and a tool to ensure their wishes are clearly communicated.
Flat Friendly Surgeons Directory

Empower women to protect their choice to go flat! Our easy to use Flat Friendly Surgeons Directory features over 500 surgeons specializing in aesthetic flat closure after mastectomy, explant or revision surgery. Get involved in our ongoing validation and expansion of this important tool.
Literature Distribution

Take action in your community! Our literature distribution campaign reaches women facing mastectomy right where they are NOW: local hospitals, imaging centers, community centers, and public events. View our publications here.