It depends a lot on what you need. I have a made to measure Jobst, which costs more but is very hard wearing and works well. I am just about to order a 2nd hand as my first one is beginning to show a bit of wear which is not surprising! Having had off the shelve (OK but not so effective) and locally made to measure (pathetically bad in quality and accuracy of measuring - and not cheap), I will stick with what works for me. But I agree, lymphoedema treatment of any kind is hard to get recognised and supported. Even my private health care stuffed things up - I elected for cover (checking it would cover lymphoedema) only to find my claims knocked back. Further investigation revealed I am covered for speech therapy! Fixed and backdated, but operative left in little doubt that I don't need help in the speech department. Have to laugh.