Aim of this work is to review the current literature on the study and evaluation of surgical complications after reconstructive plastic surgery in patients with breast cancer. The search for relevant sources was carried out in PubMed, Cochrane Library, E-library systems, publications from 2013 to 2022 were studied, 38 of which were used to write this review. There is no doubt that the development of complications during reconstructive plastic surgery can affect the quality of life of patients, despite attempts to eliminate them. Therefore, a more detailed study of the nature, causes, and ways to eliminate complications will allow oncologists and plastic surgeons to correctly assess the disadvantages and advantages of various methods of surgical treatment of breast cancer, and, accordingly, to conduct a personalized approach when choosing the volume of surgical treatment. Based on the analyzed world and domestic literature, it was found that the choice of breast reconstruction technique should be determined separately for each clinical case. The risks, advantages and disadvantages of each technique must be taken into account and considered for each individual clinical situation.