Purpose: The purpose of this study was to understand the experience of exercise participation among patients following transverse
rectus abdominis myocutaneous (TRAM) flap breast reconstruction surgery. Methods: A phenomenological method was used in
this study. Exercise experiences for twelve patients, who had undergone TRAM flap breast reconstruction, were collected through focus
group interviews. Results: The factors that contributed to exercise barriers in the experience of TRAM flap breast reconstruction
patient exercise participation were categorized into 3 groups: ‘fear of exercise after surgery’, ‘weakened emotional condition’, and ‘lack of
exercise information’. Exercise facilitators after TRAM flap breast reconstruction were also categorized into 3 groups: ‘desire to improve
appearance’, ‘feasiable exercise program’, and ‘exercise experience’. Conclusion: The results of this study reveal the exercise barriers and
facilitators for patients following TRAM flap breast reconstruction, which should be considered to develop effective exercise programs.