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.

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

WHCRA chest wall reconstruction 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.

#ASBRS2023 Conference

The NPOAS Board will be attending the American Society of Breast Surgeon’s Annual Meeting in 2023 in Boston, MA with an exhibitor’s booth to advocate for aesthetic flat closure. We will be engaging providers one on one, providing brochures for surgeons to take back home and use in their practices, learning about and supporting coding and oncoplastic training, and engaging with researchers.

Visit the page to learn more!

AFC Surgical Photo Database

Aesthetic Flat Closure 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.

Find out more!



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