This delightful lady had a fungating breast cancer. She received 3 courses of chemotherapy followed by radical mastectomy. Ten days after surgery, Dr. Mishack Akunekwe and I performed a TRAM Flap. She is discharged home and doing well. Of course, she probably is not cured but her quality of life is astonishingly better. She will no longer have the smelly mass attached to her and be a pariah in her village.