<p>There has been an increasing number of referrals of obese patient to lymphoedema services Lymphoedema in obesity is oḀen complicated by multiple comorbidities. Treatments for lymphoedema have been shown to be unsuccessful without concurrent and sustained weight loss. This article describes the initiatives of a specialist lymphoedema service in aᴀempting to manage lymphoedema in the presence of obesity and highlights some of the issues around this problem, and interventions undertaken to encourage weight loss among a group of overweight outpatients with lymphoedema.</p>