Our experience with 1143 single-stage surgeries in breast cancer patients undergoing skin-sparing mastectomies and breast-conserving surgery is presented. Both patients' tissues and silicone implants were used for reconstruction purposes. Latissimus dorsi muscle in combination with endoprothesis was used in 592 patients. The lowest local recurrence rate was reported in the skin-sparing mastectomy group, obviously due to a greater amount of tissues dissected.