Manual lymphatic drainage, dry brushing, lymphatic compression pump, vibration plate and compression garments have been found to be beneficial to a reasonable extent. Removal of the excess volume of the abnormal fat while protecting the lymphatics and the veins is very essential and has been found to be the most effective definitive form of treatment. This reduces the volume of the diseased fat thereby arresting or delaying the progression of the disease. Medical management is essential before and after the surgery, depending on the condition and severity of the disease. In certain conditions excisional treatment may be required to reduce/ remove unwanted excess fat and multiple skin folds. Few patients may require treatment for varicose/ spider veins depending on the presenting symptoms.