The aim of the study is to determine body image, sexual adjustment and the factors affecting them in women with breast cancer after surgery. This descriptive and cross-sectional study was conducted with breast cancer patients admitted to a foundation hospital. Data were collected with the Sexual Adjustment and Body Image Scale, evaluated with t-test, MWU, Kruskall Wallis and correlation analysis. Sexual Adjustment Body Image scale subdimension scores of the patients were 10.81±2.32 for Prior Body Image, 9.69±2.69 for Postbody Image,7.04±1.73 for Prior Sexual Adjustment,7.4±2.34 for Sexual Importance of Breasts and -4.28±2.63 for Impact on Sexual Functioning. A weak positive correlation was found between the patients’ body image scores and their sexual adjustment scores. It was found that having a child significantly affected the Prior and Postbody Image scores. There was a significant difference between Prior Sexual Adjustment scores according to income level. Employment had an effect on the Impact on Sexual Functioning subdimension score and presence of a chronic disease affected the Postbody Image and Prior Sexual Adjustment subdimension scores. Having a chronic disease, having children, being employed, and having poor income affect sexual adjustment and body image in women with breast cancer after surgery.