<p>This paper describes a matrix of service delivery for patients. The aim at each level is empowerment. The matrix describes five groups of patients with differing levels of lymphoedema complexity. The final group includes two groups of patients; those whose lymphoedema requires surgical intervention and children with lymphoedema. Treatment is used to facilitate the development of an expert patient who can move from a state of relative dependence to one of independence. This paper offers a model to facilitate planning and lymphoedema service provision.</p>