This 63-year old lady has suffered from lipedema of her bilateral legs since she was a teenager. She has been diligent about routine physical activity, regular exercise, sauna, and compression with no resolution of her condition: the ankle swelling would always be there. She desired to undergo surgery to off-load the heaviness of her lower legs, improve range of motion and appearance. After high-volume HD liposuction, she is thrilled with her result. She is now able to do calf raises without carrying extra weight at her lower legs.