<p>The Lymphoedema Framework Project is a national initiative aimed at developing and evaluating integrated, primary care-based, specialist-led lymphoedema services in a number of participating primary care trusts around the country. The aims of the project are to make available appropriate care to patients no matter what the cause of their lymphoedema, and to raise the profile of lymphoedema as a major health priority. Underpinning the project is partnership and consensus. This article provides an overview of how consensus was used to develop the key documents for national guidance for the management of lymphoedema.</p>