: Breast reconstruction in Asian women differ from their western counterparts as most Asian ladies have small to moderate sized breast with limited adiposity for abdominal flap reconstruction. Latissimus dorsi (LD) flap is an extremely useful reconstruction option for this particular group of women. Minimally invasive breast surgery is surgery performed via small aesthetically placed incision(s) whilst maintaining oncological principles. As LD flap is conventionally harvested as a myocutaneous flap, it results in a long unsightly donor site scar. Hence, the use of conventional LD flap harvest in combination with minimally invasive oncological resection have raised doubts over its value. To the best of our knowledge, this is the first series to describe our initial experience in using minimally invasive oncological resection techniques in combination with multiple variations of minimally invasive LD flap reconstruction. Consecutive patients who underwent breast reconstruction using LD flap between January to March 2020 were included in this case series and analyzed. Data collection included clinicopathological characteristics of tumor, types of surgery and reconstruction, operative time, blood loss, length of hospital stay, surgical outcomes and complications. Aesthetic outcomes evaluations with clinical and post-operative photography-based assessments were performed, in which patients’ consent was obtained. The mean age of patients was 56 years old (range, 45–69). All had early non-metastatic breast cancer, no evidence of skin or chest wall invasion and no clinical evidence of lymph node metastases. Mean pathological tumor size was 2.8 cm (range, 8 mm to 7 cm). Specimen weight ranged from 34 to 51 g for wide excision cases and 117 to 309 g for mastectomy specimens. The mean blood loss for all was less than 15 mL and mean hospitalization was 1 day. Aesthetic outcome assessed by the performing surgeon and patients graded it to be between good and excellent. All patients were satisfied with their scar appearance, wound length and location. Our initial experience demonstrated the safety and versatility of endoscopically harvested LD flap in combination with minimally invasive breast surgery, which offers an attractive alternative for oncological resection in breast cancer management.