“…Since evidence emphasises more and more the effectiveness, appropriateness and cost-efficiency of physiological lympho-reconstructive procedures, we are of the opinion that, in the future, insurance companies will need to reimburse costs of microsurgical surgical treatment for lymphoedema. Currently, the Swiss healthcare system does not require by law reimbursement of this type of surgery [5]. National and international prospective and standardised evaluations, including patient-reported outcome measures, will emphasise the beneficial effects of lymphatic surgery and eventually guarantee insurance coverage in the future.…”