Breast cancer incidence in sub-Saharan Africa is on the rise. Often, owing to poor access to healthcare services, it presents late and tumours are often inoperable. This gives rise to a burden of pain associated with tumour growth that is rarely present in countries with more developed healthcare systems. To understand more fully the burden of pain associated with breast cancer: the causes and management. A retrospective analysis of patients enrolled under Hospice Africa Uganda, at Little Hospice Hoima. Using data from their files, pain scores, descriptions and management will be assessed. Patients will be divided into non-mastectomy and mastectomy groups so as to better understand the causes of pain.