Mastectomy Surgical Positioning: Optimal Patient Placement

The standard surgical position for a mastectomy is supine with the ipsilateral arm abducted at 90° and externally rotated. The arm is supported with pillows to prevent brachial plexus compression. The patient's head is turned away from the operative side.

Additional Positioning Considerations

• Ensure the patient is comfortable and the surgical site is fully accessible.
• Support the head and shoulders to avoid neck and back strain.
• Support the feet to prevent dangling off the operating table.
• Position the non-operative arm to avoid interference with the surgical field.
• Protect the skin from pressure points and temperature extremes.

Proper positioning is critical for surgical access, patient safety, and prevention of intraoperative nerve injuries.