There is increasing interest in the potential value of compression wraps in the management of lymphoedema and other disorders of the circulatory system. Given the significant unit cost of these materials, the All Wales Medical Devices Strategy Group commissioned an independent review of the literature to determine if these devices represent a cost-effective option for the treatment of lymphoedema. Although the evidence is by no means overwhelming, the controlled extended use of compression wraps for the treatment of lymphoedema appears to be supported both on clinical and financial grounds and, therefore, should be given serious consideration.