A two-stage, endoscopically assisted technique was used to reconstruct the chest wall and breast deformity in a female patient with Poland syndrome. In the first stage the latissimus dorsi muscle was transferred anteriorly, and a tissue expander was placed under the transposed muscle to adjust the size of the breast accordingly. In the second stage the same incision in the midaxillary line was used to remove the expander and place a permanent implant endoscopically. The two-stage technically demanding endoscopically assisted reconstruction of Poland syndrome was rewarded by inconspicuous scars and a fine aesthetic result.

        Key words: Poland syndrome, endoscopically assisted dissection, latissimus dorsi muscle