The following breast surveillance is recommended in female PJS patients: Raising awareness at age 18 years e.g., by starting breast self-examination; Clinical breast exam every 6–12 months starting at age of 25 years; Annual breast contrast MRI screening (or breast ultrasound if MRI contraindication or unavailability) at age 25–30 years; Annual mammogram with consideration of tomosynthesis and ultrasound for dense breast and annual breast contrast MRI at age 30–50 years; Annual mammogram with consideration of annual breast contrast MRI for dense breast pattern at age 50–75 years; Management should be considered on an individual basis from age > 75 years. Level of evidence: low Strength of recommendation: moderate