<p>Background: In this case report, the author examines inelastic compression bandage treatment for unilateral lower-limb lymphoedema, secondary to a congenital lymphangiohemangioma in a 11-month-old child. Compression therapy for adults is a well recognised treatment for unilateral lymphoedema but remains less well defined for children.</p>n<p>Aim: To determine the effects of inelastic compression bandaging on lymphoedema in a paediatric single case study.</p>n<p>Method: Once baseline circumferential measurements of the mid dorsum and ankle were taken, a made-to-measure, class-1, below-knee compression garment was fitted. Results: Treatment with an inelastic bandaging system capable of providing reduced (20–30 mm Hg) pressure to the site resulted in a clinically significant improvement in the lymphoedema.</p>n<p>Conclusion: A 1-month bandaging protocol allowed for sufficient improvement to progress to fitted made-to-measure garment therapy.</p>