This article discusses the development of a multidisciplinary specialist advisory clinic for post-operative breast cancer patients and its ongoing evaluation through the use of audit. The clinic was developed in 2002 in response to patient requests for more timely information about lymphoedema prevention, improved post-operative physiotherapy, and a need to feel empowered and become active participants in their care. The trust and primary care trust involved in running the clinic aimed to reduce the potential complications of breast surgery, that is shoulder dysfunction and cording, raise awareness of lymphoedema prevention strategies and address the psychological impact of breast cancer.