Objectives: To assessement outcome of breast reconstruction with the ispilateral pedicled TRAM flap in breast cancer patient having the low abdominal scars. Methods : The pedicled TRAM flap breast reconstruction were performed in 48 patients after nipple sparing mastectomy as well as modified radical mastectomy from 2017 - 2019 at Hue Central Hospital. Results: There is 16/48 (33.3%) patient who have the low abdominal scars and 100% in which were operated by the ispilateral pedicled TRAM flap in breast reconstruction, part I, III of TRAM was using for 15/16 patients. Compare to the contralateral pedicled TRAM flap, the ispilateral pedicled TRAM flap have a shorter in surgical time (under 180 minutes) and time staying hospital (under 10 days). Most of them having the aesthetic results and satisfied with immediate or delay breast reconstruction. The rate of complication was 12.5%, no finding the severe complications of reconstruction in the total flap necrosis and hernia or bulge in this study. Conclusion: The ispilateral pedicled TRAM flap was a safe as well as contralateral pedicled TRAM flap and reliable procedure for breast cancer patient having the low abdominal scars. Key words: TRAM flap, breast cancer, breast reconstruction.