INTRODUCTION: This study aimed to determine the relationship between the tendency among women to undergo breast reconstruction after mastectomy and the quality of sexual life and social appearance anxiety. METHODS: This descriptive and cross-sectional study was conducted in 138 patients who underwent mastectomy at the general surgery and oncology department at . between May 2019 and July 2020. Data were collected using the “personal information form,” the “tendency to breast reconstruction after mastectomy scale (TBRAMS),” the “sexual quality of life-female (SQOL-F) scale,” and the “social appearance anxiety scale (SAAS).” Results: The mean scores on the TBRAMS, SQOL-F scale, and SAAS were 27.19 2.68, 64.48 9.26, and 46.10 12.22, respectively. DISCUSSION AND CONCLUSION: The results showed that the mean TBRAMS, SQOL-F, and SAAS scores of the patients were at a moderate level, and a negative relationship was observed between the mean TBRAMS score and the SQOL-F scale and SAAS scores.