Summary: Advances in the diagnosis and treatment of breast cancer have resulted in a growing number of women living many years after cancer therapy. However, the absence of disease recurrence does not necessarily mean a full return to health or everyday functioning. Women after breast cancer treatment may experience persistent fatigue, sleep disturbances, vasomotor symptoms, pain, vaginal dryness, dyspareunia, reduced sexual desire, altered body image, fear of recurrence, loss of fertility and difficulties in intimate relationships. This article discusses practical aspects of survivorship care in women after breast cancer treatment, with particular attention to sexuality, genitourinary syndrome of menopause, menopausal symptoms, fertility, contraception, lifestyle, physical activity, diet, body weight and metabolic health. The importance of actively asking about symptoms that patients often do not report spontaneously is emphasized, together with the need for interdisciplinary care involving gynecologists, oncologists, reproductive medicine specialists, pelvic floor physiotherapists, psycho-oncologists, sexologists and dietitians. Particular focus is placed on realistic and clinically applicable interventions, including treatment of GSM, pelvic floor physiotherapy, non-hormonal management of vasomotor symptoms, fertility preservation, safe contraception and lifestyle modification. The goal of survivorship care should not be limited to cancer surveillance, but should also include helping the patient regain agency, intimacy, physical functioning, sexual health and reproductive autonomy.