This issue’s theme is change. Change is the law of life. And, those who look only to the past or present are certain to miss the future. Progress is impossible without change, and those who cannot change their minds, cannot change anything. To improve is to change; to be perfect is to change often. Change is good; breast cancer surgery has changed, and so has reconstruction (thanks Dr Venter). Change is inevitable; and should be looked at as a new beginning (thanks Gereth). Embrace changing your style (with the tweak&STYLE team). I have been told I have none (style)…but a breast surgeon should not be too creative but rather cautious and safe. Change your diet and exercise programme, and celebrate like our Super Survivors. Accept the sadness of change (goodbye Tobeka). Argue about change…the change of screening benefits. Finally, the secret of change is to focus all your energy not on fighting the old, but on building the new.