Abstract: Surgical treatment is still the most important means of breast cancer treatment,but in recent years,with the continuous development of systemic treatment level of breast cancer,the surgical treatment concept of breast cancer is also changing.Including surgical treatment strategy of ductal carcinoma in situ,sentinel lymph node micrometastases or macro metastasis of axillary processing strategy,Safety of sentinel lymph node biopsy and breast conserving after neoadjuvant therapy,the timing of surgery after neoadjuvant therapy,surgical treatment of young breast cancer，Surgical treatment of stage Ⅳ breast cancer,radiation time to implant breast reconstruction,etc.,in the face of these problems, Breast surgeons are often confused.In this paper,ten hot issues in the surgical treatment of breast cancer are summarized based on the latest progress in the surgical treatment of breast cancer in recent years and guidelines at home and abroad,so as to make the surgical treatment of breast cancer more standardized and individualized. 

Key words: breast cancer；surgical treatment；sentinel lymph node；neoadjuvant therapy, breast conserving surgery, young breast cancer；stage Ⅳ breast cancer