Although CBS was found to be nearly equal to radical approaches as it allow removal of diseased tissues with sufficient safety margins of un-diseased breast tissues but the shape of the breast is not conserved that lead to marked post-operative deformities which leads to psychic troubles particularly in younger females. Oncoplastic breast surgery (OBS) allows better resection of huge tumors and it becomes a preferred surgical approach of cancer breast management as it allows combination of both oncological and plastic surgery principles and reaching satisfaction in both oncological and aesthetic results. Aim of the current study is to compare between CBS and OBS as two different techniques of primary breast cancer management in female patients regarding surgical outcome and postoperative findings.