Background: Breast cancer is the most commonly diagnosed cancer in women across the world. The majority of women diagnosed with the disease undergo surgery. Many patients suffer from upper limb impairments that result from mastectomy may interfere with some women's ability to resume normal physical function lead to significant psychological morbidity e.g low self-esteem. The basic goal of nursing care for patients who have had a mastectomy is to return the patient to normal life in the shortest period of time with the fewest problems.