Free, medically reviewed printable brochures for patients and providers.

Not Putting on a Shirt collaborates with other organizations to provide printable resources that patients can use at their surgical consult or to spread the word in their local community, and that providers can use in their practice. You can also request brochures shipped for your practice, for leafleting, or for use at a public or private event.

Technical Tip: if your brochure doesn’t quite look right when you print it, try checking your print settings – uncheck “fit to page,” check the margins settings, etc.

My Choice: AFC

A Patient Education Resource for Clinics

Available in English and Spanish

Helps your patients understand that going flat – aesthetic flat closure – is a valid, healthy, and beautiful choice.

This full color, illustrated trifold brochure gives an overview of what aesthetic flat closure is and has a QR code which links to nonprofit educational and peer support resources for your patients.

Flat Is Beautiful

For Patients Going Flat at Mastectomy or Revision

Use for outreach and education to patients, providers, and the general public. Great for events.

This full color trifold brochure lists online FLAT resources, an aesthetic flat closure gallery, questions to ask your surgeon and more… and features some of the flat community’s brave visibility advocates.

Additional Languages Available:

Spanish, French, German, Arabic, Swahili, Russian, Chinese, Hindi, Portuguese

Going Flat at Explant

For Patients Going Flat After Explant

Helps patients who want to go flat after explant advocate for their choice.

Includes detailed information on both explant (total capsulectomy) and aesthetic flat closure, a checklist of questions to ask your surgeon, illustrations of aesthetic flat closures, and steps to take to protect your choice to go flat after explant.

Asking For FLAT

For Patients with an Inexperienced Surgeon

If your surgeon has little or no experience with aesthetic flat closure and you cannot pursue a second opinion, this illustrated handout can help you communicate your wishes clearly.

Includes space for you to take notes from your consult.

Conference Brochure

For Surgeons and Medical Providers

Introduces aesthetic flat closure (AFC), showcases NPOAS’ AFC resources, and lists ways medical providers can get more involved in AFC advocacy.

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We are able to provide our publications to providers and the public at no cost because of the generous donations of our supporters. Publication expenses are the second largest item in our budget. If you are able, please consider donating to support us in this effort.

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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