Current Projects

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.

State Legislation for Revision Coverage

The recent house bill in Vermont that requires insurance to cover revision surgery serves as a model for other states. Visit the project page to download the bill and visual aid, then call your state legislators to get the ball rolling in YOUR state! We are also gathering data on patient experience with revision surgery.

Take our short online survey about revision:

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 growing list of publications here.

NEW! Our Explant Brochure is now available!

WHCRA Amendment

Ask your Congressional representatives to support a simple amendment to the WHCRA that will ensure parity of insurance coverage for going flat. Sign the online petition, and use our easy form letter to contact your legislators.

Surgeon Directory

Empower women to protect their choice to go flat! Our easy to use Flat Friendly Surgeons Directory features over 180 surgeons specializing in flat closure after mastectomy, explant or revision surgery. Get involved in our ongoing validation and expansion of this important tool.

Coding for Flat Closure

Help us close the coding gap! We’re working to support development of a standardized protocol for insurance coding for flat closure and revision services. Involves stakeholder outreach and database management.

NAPBC Protocol Amendment

Women reconstructing their chest wall should be able to access a specialist just like women who are reconstructing their breasts. That’s why we want the American College of Surgeons to amend the NAPBC’s reconstructive consult protocol to include flat closure. 


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This site contains copyrighted material. Not Putting on a Shirt’s educational materials and resources on this site are freely available for “fair use” (Title 17 U.S.C. Section 107) in accordance with our mission to advocate for optimal outcomes for those who choose to go flat after mastectomy.  The copyrighted material on this site is distributed for educational purposes without profit – all donations to Not Putting on a Shirt directly fund our advocacy work. If you wish to use copyrighted material from this site for purposes that go beyond “fair use”, you must first obtain explicit permission from the copyright owner. Please direct requests or questions to