An evaluation of the use of an adjustable compression wrap (easywrap®, Haddenham Healthcare) was conducted within a UK-based wound healing clinic. The aim was to investigate if this adjustable compression wrapping device (ACWD) was a cost-effective alternative to short-stretch, combination short-stretch and long-stretch compression bandage kits for patients with chronic oedema and lower leg wounds. Secondary aims were to consider if concordance was improved with long-term use of the device as part of maintenance therapy, the main outcome measure for this being if there was ulcer recurrence. Five patients with venous leg ulcers, including some which were not healing, were selected and treated with the short-stretch ACWD instead of standard leg ulcer bandaging techniques over an 18-week period and indefinitely as part of ongoing maintenance. From the case studies discussed, all wounds improved with the use of the easywrap ACWD and improved patients’ quality of life and concordance with compression therapy. Furthermore, cost savings are demonstrated when using an ACWD instead of standard leg ulcer bandaging after 1 month of treatment.