A new recommendation has just been published on the management of breast inflammation during breastfeeding. While the Clinical Protocol #36 of the Academy of Breastfeeding Medicine (ABM, 2022) laid the foundations for a spectrum-based approach, the new 2026 surgical guidelines and the theoretical model of Dr. Pamela Douglas (2022) redefine the pathophysiological mechanisms and reference interventions. We present a synthesis for each of these three perspectives: