Objective: Guidelines for breast health care (early detection, diagnosis and treatment) that were developed in high resource countries cannot be directly applied in limited resource countries (LRC), because these guidelines do not consider real world resource constraints, nor do they prioritize which resources are most critically needed in specific countries for care to be most effectively provided.The BHGI strives to develop evidence-based, economically feasible, and culturally appropriate guidelines to be used in nations with limited health care resources to improve breast health outcomes.A panel of breast cancer experts and patient advocates met to specifically develop consensus recommendations on how treatment may best be provided under the constraints of significantly limited resources.Methods: After consideration of factors affecting the value of a given breast cancer therapy (contribution to overall survival, disease-free survival, quality of life, and cost), each therapy was assigned to one of four incremental levels—basic, limited, enhanced, or optimal—that together map out a flexible approach for planning and expanding treatment.For each level of resources, key performance indicators have been identified to monitor and evaluate the progress of the medical unit.Results: The alocation of resources matrix will be presented, focusing on the central aspects of treatment and resource allocation that form the core of breast cancer treatment programs.Emphasis will be put on the utility of performance indicators to influence the outcome of breast cancer care.Stratified recommendations are a means to ensure equity in access to treatment services, while making rational use of existing resources, by distributing resource utilization for the greatest benefit to the largest number of people possible.The therapy overview checklists can provide a means for accreditation of units for breast cancer diagnosis and treatment.Conclusions: The breast cancer problem in LRCs can be improved through practical interventions that are realistic and cost-effective.The BHGI guidelines provide a framework whereby a health care network can make sequential improvements in care by defining the logical "next step" for system wide improvement.