Patients suffering from lower limb lymphedema suffer from excessive swelling of one or both legs from as little as 2 litres to as much as 9 litres or more per leg. This in no doubt affects their gait and would in turn affect their major lower joints and ultimately the spine. This may have adverse effect on health services and patient welfare over time. Pioneering surgery, developed in Europe, was adapted in Dundee by one of our leading plastic surgeons, Mr Alex Munnoch, and in collaboration with Professor Abboud a model was developed to evaluate and monitor the outcome the liposuction surgery. A signature has been found using gait and foot pressure analysis, which is currently being optimised for dissemination.