In Medicine, sometimes the same operation can have different names. This is an example. Simple mastectomy, total mastectomy and complete mastectomy all refer to the same operation. They are used interchangeably. With this operation the entire breast, most of the skin and the nipple-areolar complex are removed. Because the skin is removed, the patient usually does not have reconstruction at the same time (immediate reconstruction) although reconstruction is possible the future (delayed reconstruction).