What is the BMI requirement for NHS breast reduction?

Typically, patients need to maintain a BMI between 20 and 27 for one year.

Why does BMI affect breast reduction eligibility on the NHS?

Higher BMIs can increase surgical risks like anesthesia complications and infections.

Are extreme cases prioritized for NHS breast reduction?

Yes, due to limited resources, the NHS currently prioritizes only the most extreme cases.

Home / Health / NHS Breast Reduction Rules Leave Woman Struggling

NHS Breast Reduction Rules Leave Woman Struggling

6 Dec, 2025

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Summary

Higher BMI can increase risks for anesthesia and wound healing.
Patients typically need a BMI between 20 and 27 for a year.
NHS prioritizes extreme cases due to limited surgical resources.

NHS Breast Reduction Rules Leave Woman Struggling

Obtaining a breast reduction through the NHS can be difficult, particularly for individuals with a higher Body Mass Index (BMI). Melissa's experience highlights the struggle, as her BMI has prevented her from meeting the strict criteria, despite her physical discomfort and need for the surgery.

The standard NHS requirement for breast reduction eligibility involves maintaining a BMI between 20 and 27 for a full year. This poses a significant challenge for many, including Melissa, who, despite efforts and natural weight fluctuations post-pregnancy, finds it hard to meet these exact parameters when her current discomfort is linked to breast size.

Experts note that while BMI is a factor, it's not always the sole determinant of health or surgical suitability. The NHS also faces resource limitations, leading to prioritization of only the most severe cases, making it difficult for many to access necessary procedures even if they meet all other criteria.