I am a physio who has had a Lat Dorsi flap and saline implant reconstruction following a mastectomy in 1999.At the time I was given no specific physio focussed at specific problems associated with relocation of Lat dorsi,only routine Mastectomy exercises.Eventually I found physio at Peter Mac (Melbourne)who gave me some help but no-one warned me re associated back problems due to resulting muscle imbalance in the spine.So I'm sure there is a need for more PTs specialising in this area of women's health.Cheers sibbles53