Surgical methods have been widely used in the past to treat patients with congential lymphedema. There are only scant data in recent literature about the long-term outcome of these mostly historical methods. On the other hand, the subject is not only of interest to those concerned with the history of medicine but also may raise a couple of questions about treating such patients today. The authors report on a 77-year-old female patient with congential lymphedema with a 50-year follow-up after lymphedema resection and focus on practical problems of bandaging today.