<p>The Best Practice for the Management of Lymphoedema document (Lymphoedema Framework, 2006) has made a significant impact on the quality of lymphoedema care in the United Kingdom and worldwide. The International Lymphoedema Framework (ILF) has partnered with the American Lymphedema Framework Project (ALFP) to update and expand the 2006 edition to incorporate recent advancements and updated understanding. The goal of this manuscript is to provide an overview of the continued partnership of the ILF and the ALFP and to outline the methodology used for this important update.</p>