Introduction: Breast-conserving surgery (BCS) is the standard surgical approach for many women with early-stage breast cancer, offering survival outcomes that are at least equivalent to mastectomy when combined with adjuvant radiotherapy. The development of oncoplastic breast surgery (OBS) has broadened the scope of BCS by enabling wider tumour excision while maintaining breast contour, cosmetic outcomes, and patient satisfaction. Beyond aesthetic advantages, OBS has demonstrated improved oncologic outcomes, including lower rates of close or involved surgical margins and reduced need for re-excision. In rural Queensland healthcare settings, where access to reconstructive expertise and specialist services may be limited, evidence on OBS outcomes remains scarce. Objective: To evaluate whether the introduction of oncoplastic techniques improved surgical margin clearance and reduced re-excision rates following BCS in two rural Queensland Hospitals Methods: A retrospective cohort study was performed including all patients who underwent BCS for breast cancer at Bundaberg and Rockhampton Hospitals between 1 January 2020 and 31 June 2023. Patients were stratified according to the use of oncoplastic techniques. Data was collected through manual review of electronic medical records and included patient demographics, tumour characteristics, operative details, pathology results, margin status, and requirement for further surgery. Primary outcomes were surgical margin status and rates of re-excision. Secondary outcomes included types of re-excision (WLE vs mastectomy) and oncoplastic techniques Results: Data collection performed and analysis currently underway Conclusion This study evaluated the oncologic impact of oncoplastic breast surgery in two rural Queensland settings. Findings may support broader adoption of oncoplastic techniques in regional centres to optimise surgical margins, reduce re-excision and improve cosmetic outcome.