The LIPLEG trial, a landmark study and the first large, multi-center, randomized controlled trial to directly compare liposuction with conservative therapy for Lipedema, was published this week in The Lancet (Podda et al., 2026). This paper is the strongest evidence to date that Lipedema pain is treatable and that liposuction can help many patients.
The trial found that liposuction (often combined with conservative therapy) produced significantly greater reductions in pain than conservative therapy alone. After 12 months, 68% of the liposuction group had a meaningful reduction in leg pain, compared with just 8% of the conservative therapy group, and this result was consistent across all three Lipedema stages. The participants who received liposuction had 26.2 times the odds (an “odds ratio” of 26.2) of reporting a two-point reduction in leg pain on a ten-point scale. Put more simply, the participants in the liposuction group were roughly nine times as likely to achieve that pain reduction (68% vs. 8%). This figure may even be a conservative estimate; in 41 of the 278 surgical cases, researchers were unable to complete the 12-month follow-up assessment and counted these as treatment failures, though presumably some participants had positive outcomes.
