Table 1.

Summary of physiologic procedures (lymphovenous anastomosis and lymph node transplantation) versus debulking lipectomy for lymphedema

Procedure	Mechanism	Postoperative Compression Therapy	Volume Reduction
Debulking Lipectomy	- Manual removal of adipose deposition and fibrosis	Continued requirement for compression therapy	Moderate to major
Microsurgical Procedures (e.g. Lymphovenous Bypass and Lymph Node Transplantation)	- Restoration of lymphatic flow and drainage	Compression therapy can be variably weaned over time	Minimal