<p>Background: Access to health services and health outcomes are generally poorer in rural and remote areas. Aims: To review clients with breast cancer-related lymphoedema (BCRL) attending a rural lymphoedema service (RLS) to ascertain any associations between treatment, service utilisation, diagnosis, arm volume (AV) and distance. Methods: A retrospective medical record audit of participants with BCRL attending a RLS was undertaken between 1 June 2004 and 30 June 2009.</p>