<p>'Never doubt that a small, group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has.’ These words of Margaret Mead, American anthropologist, are relevant to the history and current state of lymphoedema therapy in the USA. Just as with the history of infantile paralysis, cystic fibrosis and muscular dystrophy, progress in public awareness and professional involvement for lymphoedema has been the result of the efforts of a select few. As with these previous examples, the select few have developed a cooperative advocacy of both professionals and lay people.</p>