Hi Kim;
In my experience it's been fine to be on Herceptin and taxanes together. Currently I'm on Taxotere and Herceptin and get them both on the same day.
Your onc should order an Echo or MUGA scan of your heart soon,to use as a baseline measure. This should be repeated throughout your course of Herceptin. Some oncs run the scan every 3 months, some every 6 months.
I had a mastectomy while on Herceptin, and did fine. I know several others on this board have had various surgeries while on Herceptin and had no problems, so you should be fine, although I would hope your onc would order the heart scan at some point before your surgery just to make sure you're fine.
Welcome to the board 
<3 Lolly
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Sept.'99 - Dx.Stage IIIB, IDC ER/PR-, HER2+++ by IHC, confirmed '04 by FISH. Left MRM, AC x's 4, Taxol x's 4, 33 Rads, finishing Tx May 2000. Jan.'01 - local/regional recurrence, Stage IV. Herceptin/Navelbine weekly till NED August 2001, then maintenance Herceptin. Right Mast. April 2002. Local/Regional recurrence April '04, Herceptin plus/minus chemo until May '07. Gemzar added from Feb.'07-April '07; Tykerb/Abraxane until August '07, back on Herceptin plus Taxotere and Xeloda Sept. '07. Stopped T/X Nov. '07, stopped Herceptin Dec. '07, started Avastin/Taxol/Carboplatin Dec. '07. Progression in chest skin, stopped TAC March '03, started radiation.
Herceptin has served as the "Backbone" of my treatment strategy for over 6 years, giving me great quality of life. In 2005, I was privileged to participate in the University of Washington/Seattle HER2 Vaccine Trial.
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