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Nurse BEDI (Breast Educational Decision Aid Instrument) was designed by the Education Committee of the ASBrS, in conjunction with Penn State Hershey Health, to help newly diagnosed breast cancer patients understand their specific biopsy results and treatment choices. The tool is meant to enhance shared decision-making between the patient and the surgical team and is not meant to replace surgical consultation. We advocate that all patient decisions should be made after a direct discussion with their surgical team. Nurse BEDI was developed to be primarily used prior to definitive decision making and surgical consent with the provider, however one can adapt its use based on clinic, provider and patient needs.