Background: Occult breast cancer (OBC) is an uncommon presentation of a common disease. Occult breast cancer provokes a considerable debate regarding the mere benefit of axillary dissection alone versus modified radical mastectomy (MRM). This work aimed to evaluate the oncological safety and patient satisfaction with axillary dissection in the surgical management of Occult breast cancer (OBC). Methods: Thirty-two patients with Occult breast cancer (OBC) were included in the current study during the period between April 2013 and January 2022. After exclusion of the presence of any small breast tumour, all our patients underwent axillary clearance followed by whole breast irradiation. Results: In the present study, there was no recurrence in the breast encountered during the period of follow up which ranged from 1.5 to 8 years. Conclusions: Axillary dissection is oncological safe as surgical management for occult breast cancer patients and provides more satisfaction and psychological effect on Occult breast cancer (OBC) patients