Myths and Science: Understanding the Current Landscape of Lymphatic Surgery.

Lymphedema is one of the most difficult surgical conditions to treat because of the destruction of tenuous lymphatic system. Historically, nonsurgical management and debulking procedures were performed to reduce volume without correcting the underlying lymphatic physiology. With the recent advances in technologies, microsurgical treatments to re-establish the lymphatic system are becoming increasingly popular. Studies have reported the efficacy of these procedures in the treatment and prevention of lymphedema. This article strives to deliver an understanding of the current landscape on lymphedema surgery to increase access, promote early surgical intervention, and to offer guidance to patients beyond myths regarding lymphatic surgery.