The PEGASUS (Patient Expectations and Goals: Assisting Shared Understanding of Surgery) intervention was developed by researchers at the Centre for Appearance Research (CAR) to support people who are considering appearance altering surgery. It is a goal directed coaching tool to underpin and record shared decision making and was developed for use with individuals considering breast-reconstruction.

You will find everything you need to learn how to use the PEGASUS intervention in this PEGASUS training package, including the intervention materials and factors to consider when introducing the intervention into your service. The PEGASUS training consists of two core elements, as well as optional extras to further your learning – each of which are described below.

The PEGASUS training package has been designed for self-study, although you may also like to complete the training together with your colleagues. For example, you might like to watch the ‘PEGASUS training with Diana Harcourt and Alex Clarke’ as a group, use the ‘PEGASUS Role Play Scenarios’ to practice what you’ve learnt, and then each committing to reading the ‘PEGASUS training manual’ on your own.

Please do not pass these materials onto others, but encourage them to download the resources themselves for free from This allows us to maintain an awareness of who has accessed the training and ensures the package is downloaded in full.

To access the PEGASUS training materials, click here