This underscores the importance of comprehensive patient evaluation, preoperative management, and strategic timing for optimal outcomes. Patient suitability for surgery is determined through thorough assessments, including medical history, physical exams, and tests assessing fitness for surgery. Preoperative management focuses on optimising patient condition through interventions like nutritional optimisation and prehabilitation. Timing of surgery is critical, influenced by factors such as patient clinical status, primary disease, and complexity of reconstruction, with considerations for neoadjuvant treatments and emergency situations. Team briefing and operation planning are essential for coordinating complex surgeries, ensuring clear communication and anticipation of challenges throughout the procedure.