Lymphoedema is a chronic condition due to a compromised lymphatic system and results in the accumulation of oedema. It can affect patients who have undergone cancer treatments that involve removal of lymph nodes and radiotherapy. It can also present from a congenital defect of the lymphatic system and as a complication of a venous disorder or filarial infection. The author has over 20 years’ experience working with lymphoedema patients and has a particular interest in compression garments. In this article, best practice and the author’s accumulated clinical knowledge are shared. Australia experiences some unique challenges, but many of the difficulties discussed are shared internationally.