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Breast cancer survivors often face persistent physical and emotional challenges. Evidence suggests that physical exercise and group psychological interventions can improve well-being and illness adjustment. This pilot study examined the effectiveness of a combined intervention delivered in a natural environment. Sixty female breast cancer survivors (Mage = 51.0; SD = 5.5) participated in a 1-week program consisting of daily sailing lessons and group psychological sessions designed to address cancer-related issues. Assessments were conducted 1 week before and 1 week after the intervention using the Functional Assessment of Cancer Therapy-Breast (FACT-B) to assess quality of life and the State-Trait Anxiety Inventory. Linear mixed-effects models tested changes over time in quality of life and anxiety and whether previous psychotherapy or physical activity influenced these outcomes. FACT-B total scores significantly improved over time (P = 0.004), with gains in physical well-being (P < 0.001), emotional well-being (P < 0.001), and breast cancer-specific concerns (P = 0.018). No changes over time were observed in social or functional well-being. Anxiety levels remained moderate and stable (P = 0.250). Previous psychotherapy and physical activity did not significantly influence changes in quality of life or anxiety. A short-term group intervention combining sailing lessons and psychological sessions in a natural environment may enhance quality of life in breast cancer survivors, particularly in physical and emotional domains. These findings suggest that integrative approaches addressing both physical and psychological health are feasible and warrant further investigation in larger controlled studies.