Dr. Ian Komenaka, is the Breast surgical oncologist at Maricopa Medical Center, which is the county, safety net hospital Phoenix, AZ. The population seen in my Breast Clinic is 90% underinsured or uninsured and 60% minorities. This makes Maricopa Medical Center an ideal site for recruitment of patients not normally involved in prospective trials. Maricopa Medical Center has established a track record of successfully recruiting minority patients to prospective studies, such as the ELLA Binational Study and the City of Hope Genetic Cancer Risk Assessment Prospective Registry. More recently, he completed training with Dr. Jeffrey Weitzel, a leading expert in Genetic Cancer Risk Assessment Counseling at City of Hope and has been able to provide a service to this underserved patient population that was previously not available.