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Surgical options include lymphaticovenular anastomosis (LVA), lymph node transfer (LNT) and debulking procedures, which aim to redirect or bypass lymphatic flow and remove excess tissue

Special Considerations and When to Adjust Needle Size Patients with significant injection anxiety may benefit from starting with the thinnest available needle (31G at 8 mm) regardless of body composition, prioritizing psychological comfort that supports treatment adherence

As a result, patients often complain about LBP postoperatively with a high recurrence risk of neurological symptoms