Oncoplastic and reconstructive surgery in SENONETWORK Italian breast centers: lights and shadows

•Despite the significance of oncoplastic procedure, an italian database is lacking.•Senonetwork established a multidisciplinary survey to assess their safety and efficacy.•Reconstructive outcomes were positive across low and high-volume centers.•After mastectomy, implant-based techniques are common. DTI reconstruction is advantageuos.•This contributes to the global understanding of effective strategies against breast cancer.