¹Kalp ve Damar Cerrahisi Kliniği, Dr. Sami Ulus Kadın Doğum, Çocuk Sağlığı ve Hastalıkları Eğitim ve Araştırma Hastanesi, Ankara Pathophysiologically lymphedema originates from the obstruction of the subcutaneous lymphatic flow. Congenital or acquired, it may result from a number of cause. Besides functional loss and cosmetic deformities lymphedema also affects quality of life. The most important factor in the prevention of lymphedema is the education of the patients and their family. Although there are many approaches a standart treatment of lymphedema does not exist. Primary lymphedema is mostly detected in childhood and commonly treated by conservative methods. This case report presents our experience with microsurgical lymphaticovenous shunt creation for treatment of chronic lymphedema. This easy and simple method could be used widely and could provide stable improvement of chronic lymphedema in children. Keywords : Lymphedema, microsurgery, lymphaticovenous shunt, congenital