"Poland syndrome produces deformities of the breast and chest wall that can be highly disfiguring in young women. Incision from traditional surgical approaches can be unsightly, especially if a muscle harvest is used as part of the reconstruction. We report a case of a 19-year-old woman with Poland syndrome. In her case we used minimally invasive techniques to reconstruct her hypoplastic breast. A single midaxillary vertical incision was used to harvest and then transfer the latissimus muscle for breast reconstruction. Relatively, symmetric breast was achieved and the scar was well hidden by the arm. The aesthetic results were satisfactory."