Patients newly diagnosed with breast cancer will be referred to a nearby oncologist to discuss a treatment plan based on the stage and size of the tumor. More testing may be required during the early days of the diagnosis process to obtain genetic information for further plan refinement. Not all patients will set out on a straightforward path – some patients with rare tumors or presentations may look at treatments available elsewhere. For the more challenging presentations, patients will likely have a different journey fueled by second opinions, web research, insurance requirements, outreach to advocacy groups, clinical trial searches, and conversations with loved ones. These are important inputs into a decision that is hard to reverse once underway.