We want you to be completely up to date on the results presented at SABCS 2020, hence this article will focus on three presentations that were not previously addressed in the congress highlights. A first presentation reported on the high rate of persistent controlled substance use following mastectomy with reconstruction surgery. Results of a large systematic review and meta-analysis provide solid evidence on the chance of pregnancy after breast cancer and underscores the importance of oncofertility counselling. A third interesting study performed a large, pooled analysis to further define and explore the role of circulating tumor cell count as a tool for early treatment monitoring in patients with metastatic breast cancer (MBC).