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To investigate the value of audio-recordings in aiding patient understanding and recall of preoperative breast reconstruction information. This was a prospective cohort study. Participants were randomly allocated into either a recording group who were offered the opportunity to record their breast reconstruction explanation of surgery, or a standard information package group who received standard care. The value of having an audio-recording was assessed by semi-structured interviews and analysis of recurring themes. Between 21/2/19 and 19/