Perioperative Mindfulness Proposal

Inclusion Criteria:

* Females 18 years of age or older
* Subject must be able to speak and read English
* Newly diagnosed with primary breast cancer
* Will receive primary surgical treatment for their breast cancer diagnosis.
* Undergoing lumpectomy with or without autologous reconstruction with or without contralateral surgery for symmetry with or without IORT or simple mastectomy without reconstruction
* Breast cancer or DCIS

Exclusion Criteria:

* Recurrent breast cancer
* Current or history of major psychiatric diagnosis.
* Subjects who are receiving neo-adjuvant chemotherapy
* Subjects undergoing modified radical mastectomy or reconstruction
* Subjects regular meditation practice within the past 12 months (defined as greater than twice weekly practice)
* Subjects unwilling or unable to complete study materials or comply with study visits
* Subjects with no access to email or a mobile phone (required to access meditations)
* Subjects undergoing surgery outside Hoag
* Subjects who have narcotic dependence as defined by regular weekly narcotic use before cancer diagnosis.
* Re-excision after lumpectomy (subjects who require re-excision after initial enrollment will be excluded from final analysis and dropped from the study).