Objective: To determine the effective diagnostic and management modalities for phylloides breast tumor. Methodology: This is a descriptive study, conducted at department of Surgery, Chandka Medical College Hospital Larkana from 01-09-2001 to 30-07-2012, consist of 15 cases. Sampling technique was non probability purposive. All patients with benign and malignant Phylloides tumour were included. Exclusion Criteria included: Breast lump other than Phylloides tumour, Patients not consented for study, Patients not operated due to any reason and Patients not visited for follow up. Data Collection: Informed consent was taken from the patients who met inclusion criteria. Parameters were noted in especially designed proforma. All patients were followed for three years to observe recurrence rate. Data Analysis: Data was entered and analyzed by SPSS version 16. Mean +/- SD was calculated for age of the patients. Frequency and percentage was calculated for age group, clinical features, investigations, surgical procedures and final outcome of the patients. Results: 15 patients were diagnosed as a case of Phylloides tumour breast. Age ranged from 20-52 years with mean and standard deviation of 41.20 years+/-8.51. Majority of patients were in 4th and 5th decade. All patients presented with painless breast lump. Mammography suggested benign Phylloides in 9 patients (60%) while malignant in 2(13.33%). FNAC revealed benign Phylloides tumour in 12(80%) while malignancy in 3(20%) patients. Trucut biopsy suggested benign lesion in 11(73.33%) and malignancy in 4(26.66%) patients. All patients were operated. 6(40%) underwent lumpectomy, in 5(33.33%) patients wide local excision was performed while mastectomy was performed in 4(26.66%) patients. 8 patients had uneventful recovery, Seroma was observed in 4 patients and infection in 3 patients. Recurrence was observed in 4 patients during 3 years of followup. Conclusion: Phylloides is a less common form of breast tumor having unpredictable behavior diagnosed on clinical grounds and confirmed on Trucut biopsy. Depending on the ratio of breast and tumor size, wide local excision can be effective and breast conserving procedure. Follow up is necessary to observe recurrence rate.