Breast Conservation Surgery (BCS) with axillary clearance is a surgical procedure performed for early-stage breast cancer. It involves removing the cancerous tumor while preserving as much of the breast as possible. Axillary clearance is done to remove lymph nodes from the armpit to check for cancer spread. The procedure is performed under general anesthesia through an incision in the breast. The tumor, along with a margin of healthy tissue, is excised, and lymph nodes are removed if necessary. BCS offers a cosmetic advantage over mastectomy while maintaining oncological safety. Patients may require radiation therapy post-surgery to reduce recurrence risks. Recovery takes 2-4 weeks, with mild discomfort managed through pain relief. Potential complications include infection, swelling, or lymphedema. Post-operative care includes wound management, physiotherapy, and regular follow-ups. BCS with axillary clearance is an effective treatment that balances cancer control with breast preservation.