Lymphedema, an often unanticipated result of cancer related surgeries and treatments, causes distress amongst sufferers who having walked through cancer, now have to face the daily care required to keep this potentially deforming swelling in check. Jean A. Yzer author, physical therapist, and lymphedema specialist, has treated hundreds of patients in her lymphedema clinic over the past ten years. She discovered that topical skin cooling, a method used universally in the management of swelling and inflammation after trauma, has therapeutic value in managing the symptoms of secondary lymphedema when applied within a safe temperature range. Cooling therapy compliments treatment modalities currently considered standards of care by impacting the underlying inflammatory process part cause to this condition. Topical skin cooling has been put to the scientific test and for its simplicity of use and effectiveness in stemming the progression of this disease, deserves first-stop ranking as a standard of care in the management of lymphedema.