When primary breast cancer is diagnosed, judging the level of information to provide to patients about cancer spread is difficult, but women need information to aid their understanding of the rationale behind treatment. Providing appropriate advice about each woman’s individual risk of recurrence and secondary cancer is a complex area but is an issue women need to understand as part of making informed decisions about their treatment, in addition to making the person aware of any symptoms that may develop and that they need to report. Many women have questions about their follow up and an unexpected issue raised by women recently was lack of understanding about breast cancer spreading beyond the breast. Breast Cancer Care (2008) published Your Follow-up After Breast Cancer, which aims to clarify and address some of the issues commonly raised by women.