Hi Kathy: First, you might want to read our lymphedema FAQS. Your main risk for lymphedema is that you had 22 lymph nodes removed; not that you're having reconstruction. So, as Angi said, you're already at big risk. The type of reconstruction will only impact your risk if they further disturb your lymph nodes during the reconstruction survey. Your best bet, if you have the surgery: get physical therapy ASAP afterwards, to get your range of arm motion back and avoid frozen shoulder and any other problems that may crop up from immobility. And your chances of getting it are still probably less than 50%, even with the surgery you've had, so think positive. Good luck - PJH