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Objectives: In this pilot study, we developed and assessed acceptability of a brochure for women with dense breasts. Material and methods: We measured Flesch-Kincaid Readability of 22 existing breast density educational materials. We then developed a brochure and tested it in two populations of women: 44 safety net hospital patients and 13 Breast Cancer Surveillance Consortium stakeholders. Results: Average grade score of existing materials was 10.0 (range: 5.5–12.7). Our brochure had a grade score of 5.9, and patients reported it was easy to understand. Conclusion: Our plain language brochure could improve patient understanding following mandatory dense breast notification.