Breast-conserving surgery (BCS) is often the preferred treatment in operable breast cancer.1 While tumour biology and systemic therapy are major determinants of disease control, surgical effectiveness remains a key factor in ipsilateral breast tumour recurrence.1 As heterogeneity in surgical approach has been observed, we sought to understand Singaporean surgeons’ practice patterns and perceptions. Breast surgeons from Singapore’s public and private healthcare institutions were invited to participate in a Dillman’s Tailored Design Method online-based survey and their responses are summarised in Table 1. We discuss how surgeons’ perception may influence overall management.