Back to Resources

European Board Certification

What is the FEBS Breast Surgery Exam? Complete Guide for Candidates

The FEBS Breast Surgery examination is the European fellowship in breast surgery. This guide explains the exam, its format, eligibility, the topics and trials tested, and how to prepare.

Content reviewed 26 August 2026 against current guidelines.

What is FEBS Breast Surgery?

FEBS Breast Surgery is the qualification awarded on passing the EBSQ examination run by the UEMS Section of Surgery, Division of Breast Surgery, with the examination organised by ESSO. Passing awards the title Fellow of the European Board of Surgery (FEBS) in Breast Surgery.

Note that BRESO — the ESSO Breast Surgical Oncology programme with EUSOMA and EUBREAST, which awards the CEBS certificate — is a separate training-and-competency pathway. The curriculum used for the exam is revised by the BRESO group, but the exam that awards FEBS is the UEMS/ESSO EBSQ.

Exam Format

Written Examination (MCQ)

  • Format: Around 50 multiple-choice questions, five options each, one correct
  • Timing: Held on its own date, typically in spring
  • Incentive: A high MCQ score can waive exam fees

Oral Examination

  • Content: Two clinical cases plus a critical review of an academic paper
  • Timing: Held on a separate date, typically in autumn (months after the written)

The written and oral components are held on separate dates several months apart — the written first, the oral later in the year — after an initial eligibility review.

Eligibility Requirements

  • Specialist licence: A current licence as a surgeon (general, plastic, or gynaecological surgeon).
  • Breast unit experience: At least 1 year in a breast unit handling at least 150 new primary breast cancers per year.
  • Training & academic: At least one breast surgery training course, at least one recognised international congress, a signed breast-surgery logbook, and at least one publication on breast disease.

Topic Areas

Breast Cancer Surgery

Breast-conserving surgery, mastectomy and margin principles.

Axillary Management

Sentinel node biopsy, ACOSOG Z0011 and AMAROS decision-making.

Oncoplastic Techniques

Level I/II oncoplasty, volume displacement versus replacement.

Reconstruction

Implant-based and autologous reconstruction, timing and patient selection.

Systemic Therapy Decisions

Neoadjuvant indications and SLNB after neoadjuvant therapy.

Benign Breast Disease

Risk lesions, high-risk pathology and screening context.

Guidelines Tested

Exam Dates, Fees and Application

The written and oral sittings are scheduled on separate dates each year (written in spring, oral in autumn), after an eligibility review of CV, logbook and references.

Exam dates, fees and eligibility details change each cycle — always confirm the current requirements on the ESSO EBSQ pages (essoweb.org) and the UEMS Division of Breast Surgery pages before applying.

Why FEBS Breast Matters

FEBS Breast is the recognised European subspecialty credential in breast surgery, valued by breast units operating to EUSOMA standards.

Preparation embeds the axillary and oncoplastic evidence base — the exact areas where practice has changed most and where examiners test candidates hardest.

Frequently asked questions

How do I prepare for the FEBS Breast Surgery exam?

Know the ACOSOG Z0011 and AMAROS axillary management criteria precisely, the oncoplastic level I/II classification, and where ESMO and NCCN diverge on sentinel node biopsy after neoadjuvant therapy. Practise timed questions across both the written and oral formats.

How many FEBS Breast practice questions are available?

SurgBoardsQ&A offers more than 870 breast surgery practice questions mapped to the FEBS Breast syllabus, each with a full guideline-referenced explanation.

What topics does the FEBS Breast exam cover?

The exam covers breast cancer surgery, oncoplastic and reconstructive techniques, axillary staging and management, systemic therapy decision-making, and benign breast disease.

Can I try FEBS Breast questions for free?

Yes — 50 breast surgery practice questions are free with no credit card required.

How these questions are validated

Every question is written by Pablo Lozano Lominchar, MD, PhD, and mapped to this board’s published syllabus. Before it enters the bank it has to pass an automated check: five options, a written explanation, and a citation — a named society guideline or a named trial. Benign and functional topics cannot be published without a society guideline; oncological ones cite NCCN, ESMO or AJCC, and the classification systems that govern a topic — Bethesda, TIRADS, Atlanta, Prague, Chicago — have to appear where they apply. The author has audited the full active bank against current guideline versions: what fails is re-cited, rewritten or withdrawn. 650 questions are currently withdrawn and are served to nobody.

Scope of authorship. FEBS-Breast sits outside the author’s own subspecialty practice, which is surgical oncology — peritoneal malignancy, sarcoma, hepatopancreatobiliary and complex pelvic surgery. No diplomate of this board has signed these questions off. What they offer is traceability rather than personal authority: every answer names the current guideline or trial it rests on, so you can check it at the source before you trust it. Found an error? Tell us — it gets corrected or withdrawn.

How SurgBoardsQ&A Helps You Prepare

SurgBoardsQ&A provides more than 1,400 practice questions mapped to the exam syllabus, each with a detailed explanation and guideline citation.

Start practising

50 questions free, no credit card required. Filter by board, topic, or difficulty. Explanations cite ESMO and NCCN.