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As plastic surgeons, improvements in quality of life are often the goal of our labor. As the vascularized lymph node transfer (VLNT) procedure continues to evolve to become the surgical solution for lymphedema, proving the efficacy not only as a technique, but equally as important, its impact on quality of life is pivotal. De Brucker et al.[1] elegantly demonstrates quality improvements during a 29-month postoperative duration through a validated survey (Upper Limb Lymphedema-27 Questionnaire).

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