<p>Compression armsleeves are widely used for the prophylaxis, treatment and management of upper limb lymphoedema. However, the difficulties experienced with such garments, in terms of comfort and appearance, can greatly inffuence patient compliance. The exploration of these issues with patients and clinicians when developing compression garments is therefore important since they can enhance concordance. This article describes how manufacturer, clinicians and patients worked together to develop an efficient, comfortable and cosmetically acceptable arm sleeve, Sigvaris Advance, which utilises unique Sensinnov® breathable silicone and modal thermoregulatory and bacteriostatic fabric.</p>