Cross-sectional analysis of BREAST-Q scores for physical well-being of the abdomen between laterality groups at the following time intervals: pre-operative, 1 year, 2 years, 3 years, and > 3 years, post-operatively. We observed a significant difference in abdominal function at 1 year, 2 years, and > 3 years, suggesting that patients with unilateral autologous reconstruction report greater abdominal well-being when compared to patients with bilateral reconstruction.