“…This anxiety is the result of fears related to various factors: the surgery itself, apprehension of pain, mutilation, effects on body image, extent of cancer, death, loss of sexual attractiveness, and loss of control (Ali & Khalil, 1991;Lierman, 1984;Northouse;Reaby, Hort, & Vandervord, 1994;Royak-Schaler, 1992;Wainstock). In varying degrees, this anxiety affects the women's ability to receive and retain the information provided through pre-operative teaching (Haines, 1992;Lamarche, 1993;Oberle, Allen, & Lynkowski, 1994;Ruzicki, 1989;Young, De Guzman, Matis, & McClure, 1994).…”