Objective: To understand the clinical approach of radiation oncologists during the treatment of patients with breast reconstruction.Materials and Methods: A questionnaire survey was emailed to 105 active members of the Turkish Radiation Oncology Society, the Breast CancerStudy Group. The factors associated with radiation oncologists and their current practice was identified.Results: Fifty radiation oncologists (47.6%) responded, and most of the responders (83%) were physicians who treated >50 new breast cancer patientsannually. The majority of the physicians worked in academic hospitals and had more than 15 years of work experience. The early reconstruction rate wasnoted to be low among patients with mastectomy (<10% of the mastectomy patients) (p<0.05). Early implant irradiation with temporary tissue expanderwas noted to be a more common procedure. The majority of the respondents (68%) preferred to irradiate an inflated implant (20% total, 80% partial).In addition, 22% of the physicians declared that they routinely used bolus and that 60% of them used it only for patients at a high risk of local recurrencefactors.Conclusion: It can thus be concluded that variations exist between experienced radiation oncologists and others. Hypofractionation is not yet commonlypracticed for patients with reconstruction in Turkey. A concrete consensus can be helpful to create a homogeneity in treatment decisions and practicalapplications.