The surgery for reduction of the breast with preservation of the pedicle is the one with the highest probability of conservation of innervation of nipple and hence the sensibility of that area, as well as the integrity of milk ducts. Even though, there is still five times more probability of lactation failure among women who undergo this kind of surgery with 2/3 of women having less nipple sensibility and more troubles while breastfeeding. Mean duration of lactation among treated women was 5 days versus 3 months among those who did not undergo a surgery (two months versus six months for mixed lactation). At date of latest review no study was found that has shown significant differences on functional results of breastfeeding, among various type of surgical techniques for preservation of the pedicle (upper pedicle, lower pedicle or both with different orientation of the scar) The free-graft technique hampers a big deal the achievement of exclusive breastfeeding, since it cuts the innervation and glandular ducts. As it has been seen, at start, the possibility of breastfeeding should not be excluded, since after years reinnervation and partial recanalization may occur, although it rarely will be exclusive, because of the lost of a lot of sensibility that would ensure the functioning of the neuro-endocrine reflex that is instrumental for milk production. The normal secretion of colostrum at the end of pregnancy does not guarantee the success of lactation since it is not related to the neuro-endocrine reflex (instead it is indicative of a possible recanalization of ducts) Liposuction techniques have less untoward effects on lactation but they are limited to certain indications. Several papers reporting results that were published by plastic surgeons failed to find a relationship between reduction mammoplasty and breastfeeding troubles. They assumed that the reason for breastfeeding failure is partly due to pessimistic opinions of health care givers who are in charge of those patients. The plastic surgeon should adequately inform the women who are willing to breastfeed their offspring after a reduction mammoplasty.