With the improving of people’s living quality and medical technology

the demand for breast reconstruction after mastectomy is increasing. Transverse rectus abdominis muscle (TRAM) surgery is an important way of autologous tissue breast reconstruction. This article introduced the anatomy and blood supply of TRAM flap

the indications and contraindications of TRAM surgery

procedure and complications of the surgery. This article also discussed some problems in surgery. TRAM reconstruction

as a way of autologous tissue reconstruction

can avoid the implant related complications because the implant is not used in the surgery. In addition

compared to the implant recon-struction

the appearance and softness of autologous tissue reconstruction are closer to natural breasts

and the result of this surgery is better. In the meantime

pedicled TRAM reconstruction

which does not need microvascular anastomosis technique and close postoperative monitoring of the flap

is easy to be mastered by surgeons and could be performed at more medical centers. Therefore

the TRAM flap still has its own application prospect.