She beat breast cancer, then facebook, but the battle continues for Ann Marie Giannino-Otis.
"Until you can see what's behind breast cancer you don't understand it. If you can't understand it than how can you help someone heal," says Giannino-Otis.
Back in October, she posted raw, intimate pictures of her naked chest after having a double mastectomy on her blog and facebook page entitled "Stupid Dumb Breast Cancer". Shortly after, Facebook removed them, calling it pornographic but she fought back with a petition, signed by more than 500,000 people.
"They overturned their policy. And it had to be a mastectomy picture, educational, surgical, and no nipples," says Giannino-Otis.
Now the battle is no longer with facebook, but with its users.
"I'd say every other week that someone will tell me my picture is offensive," says Giannino-Otis.
Her pictures are constantly flagged on facebook , but she keeps them up to help other women heal.
"They want everything to be beautiful and it's not. Breast cancer is not pretty. Not in the least bit," says Giannino-Otis.
Ann Marie's battle has also brought her to the Hollywood Theater in Mattydale where she's determined to bring a breast cancer documentary to Central New York. It's called Decoding Annie Parker and it's about the woman who founded the breast cancer gene.
Giannino-Otis has been in remission for six months, but her battle will never end.
"The battle is to keep helping women and I will never ever stop doing that," says Giannino-Otis.