Adjuvant regimens with < 12 months of trastuzumab have not been found inferior to the standard duration, but the follow-up times are still short. Dual inhibition of HER2 improves the pCR rates in the neoadjuvant setting and is a potential strategy to improve survival in the adjuvant setting. Two years of adjuvant trastuzumab confers no benefit over 1 year of trastuzumab. Extending therapy with oral HER2-inhibitors shows promise. Adjuvant treatments of short duration exploiting dual HER2 inhibition are being explored.