diff --git a/tmh_registry/registry/api/serializers.py b/tmh_registry/registry/api/serializers.py
index d335c71..be6b11b 100644
--- a/tmh_registry/registry/api/serializers.py
+++ b/tmh_registry/registry/api/serializers.py
@@ -545,6 +545,7 @@ class Meta:
             "seroma",
             "infection",
             "numbness",
+            "recurrence",
             "further_surgery_need",
             "surgery_comments_box",
         ]
@@ -574,6 +575,7 @@ class Meta:
             "seroma",
             "infection",
             "numbness",
+            "recurrence",
             "further_surgery_need",
             "surgery_comments_box",
         ]
@@ -615,6 +617,7 @@ def create(self, validated_data):
             seroma=validated_data["seroma"],
             infection=validated_data["infection"],
             numbness=validated_data["numbness"],
+            recurrence=validated_data["recurrence"],
             further_surgery_need=validated_data["further_surgery_need"],
             surgery_comments_box=validated_data.get(
                 "surgery_comments_box", ""
diff --git a/tmh_registry/registry/factories.py b/tmh_registry/registry/factories.py
index 356bcc4..2a3aa5e 100644
--- a/tmh_registry/registry/factories.py
+++ b/tmh_registry/registry/factories.py
@@ -131,6 +131,7 @@ class Meta:
     seroma = LazyAttribute(lambda _: faker.boolean())
     infection = LazyAttribute(lambda _: faker.boolean())
     numbness = LazyAttribute(lambda _: faker.boolean())
+    recurrence = LazyAttribute(lambda _: faker.boolean())
     further_surgery_need = LazyAttribute(lambda _: faker.boolean())
 
     @post_generation
diff --git a/tmh_registry/registry/migrations/0036_followup_recurrence.py b/tmh_registry/registry/migrations/0036_followup_recurrence.py
new file mode 100644
index 0000000..13c0fc8
--- /dev/null
+++ b/tmh_registry/registry/migrations/0036_followup_recurrence.py
@@ -0,0 +1,18 @@
+# Generated by Django 3.1.3 on 2024-07-23 10:12
+
+from django.db import migrations, models
+
+
+class Migration(migrations.Migration):
+
+    dependencies = [
+        ('registry', '0035_episode_comments'),
+    ]
+
+    operations = [
+        migrations.AddField(
+            model_name='followup',
+            name='recurrence',
+            field=models.BooleanField(null=True),
+        ),
+    ]
diff --git a/tmh_registry/registry/models.py b/tmh_registry/registry/models.py
index 08acd31..e6fecce 100644
--- a/tmh_registry/registry/models.py
+++ b/tmh_registry/registry/models.py
@@ -201,6 +201,7 @@ class PainSeverityChoices(TextChoices):
     seroma = BooleanField()
     infection = BooleanField()
     numbness = BooleanField()
+    recurrence = BooleanField(null=True, blank=False)
     further_surgery_need = BooleanField()
     surgery_comments_box = TextField(null=True, blank=True)
 
diff --git a/tmh_registry/registry/tests/api/viewsets/test_follow_ups.py b/tmh_registry/registry/tests/api/viewsets/test_follow_ups.py
index 37477a3..fcb65e9 100644
--- a/tmh_registry/registry/tests/api/viewsets/test_follow_ups.py
+++ b/tmh_registry/registry/tests/api/viewsets/test_follow_ups.py
@@ -38,6 +38,7 @@ def get_follow_up_data(self):
             "seroma": True,
             "infection": False,
             "numbness": True,
+            "recurrence": True,
             "further_surgery_need": True,
         }
 
@@ -64,6 +65,7 @@ def test_successful(self):
         self.assertEqual(response.data["seroma"], data["seroma"])
         self.assertEqual(response.data["infection"], data["infection"])
         self.assertEqual(response.data["numbness"], data["numbness"])
+        self.assertEqual(response.data["recurrence"], data["recurrence"])
 
         # check value stored in db
         follow_up = FollowUp.objects.get(id=response.data["id"])