<h3>Purpose/Objective(s)</h3> Linear accelerator based accelerated partial breast irradiation (APBI) in early-stage breast cancer necessitates a reduction in non-target breast tissue to decrease long term toxicity and adverse cosmetic outcome. In particular, lumpectomy cavity seromas may decrease in size and deform in shape during short course APBI. We present the first recorded treatments of stereotactic partial breast radiotherapy utilizing linear accelerator based kv-CBCT online daily adaptive replanning. <h3>Materials/Methods</h3> Two patients (left sided, right sided) with early-stage breast cancer underwent SBRT to a dose of 600 cGy x 5=3000cGy in non-consecutive fractions. The CTV consisted of the seroma cavity+ 5-10mm with a PTV margin of 3mm. Both were planned in a treatment management system with 10 IMRT fields with a laterally localized hemi spherical field distribution. Plans were optimized using the Ethos Intelligent Optimization Engine with primary planning objectives for the V3000cGy_CTV and V3000cGy_PTV of >= 99% and 95% respectively. Additionally, organ at risk (OAR) evaluation parameters for the heart, ipsilateral and contralateral lung, ipsilateral and contralateral breast, and skin were planned and verified daily. <h3>Results</h3> The table describes metrics of each delivered plan. The means of each adaptively replanned and delivered fraction (±1 SD) demonstrated reduced target volumes and improved metrics to the heart, lungs, and ipsilateral breast compared to the reference plan from the simulation dataset. Conformity and gradient indices were similar between reference and adaptive plans. <h3>Conclusion</h3> Daily adaptive replanning for stereotactic body breast APBI allowed for reduced PTV margins and real time plan modification for changing seroma volumes and variable breast setups with excellent DVH parameters.