Between 50% to 96% of women who are early-stage breast cancer survivors gain weight after surgery. Postsurgical weight gains in premenopausal survivors of greater than 20 pounds are associated with a greater risk of recurrence. Abdominal fatness is also associated with a higher risk of breast cancer. Breast cancer survivors may require two phases of postsurgical nutrition counseling. The first phase would help minimize the gastrointestinal effects of chemotherapy/radiation treatment and prepare the survivor for dietary change. The second phase would help the survivor adopt and maintain a healthful low-fat diet at a caloric level set to maintain or achieve a healthy weight and to adopt an appropriate level of exercise.