I had the tram flap reconstruction. I think there are not many doctors who do the free flap, because as Judy said, it requires micro-surgery. That is very specialized. I am sorry to hear that you have a recurrence. Will you need chemo or radiation therapy? I did my reconstruction more than a year after completing all my treatments. I am very happy with the results. If you have any other questions, don't hesitate to ask. Good luck!
L & H,