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Lipoedema is a chronic adipose tissue disorder predominantly affecting people assigned female at birth, characterized by bilateral, symmetrical, non-pitting fat deposition mainly in the limbs and hips, sparing the feet and creating a distinct ankle contour. Onset and exacerbation often coincide with hormonal fluctuations such as puberty, pregnancy, and menopause. Symptoms include bruising, tenderness, tissue laxity, and joint discomfort, frequently accompanied by psychosocial distress. Diagnosis is clinical and requires differentiation from lymphoedema and obesity-related conditions, as these may coexist. Management aims to alleviate symptoms rather than alter limb appearance, emphasizing conservative approaches including nutrition optimization, physical activity, and psychological support. Compression therapy and physical modalities like manual lymphatic drainage can provide symptom relief. Surgical options, particularly liposuction, are reserved for patients who do not respond to conservative therapy, though evidence supporting these interventions remains limited.