At the moment, the treatment of lipedema stages 1 and 2 is not yet covered by statutory health insurance, which means that the patients usually have to carry the cost themselves. The costs are calculated according to the fee schedule for doctors (GOÄ). Our cost estimates include costs of surgery, anesthesia, inpatient stay, surgery and treatment fees, pre- and post-surgery treatment, compression corset and a follow-up insurance that covers possible costs in the event of complications. If the surgery is carried out as a self-pay service, 19% VAT is added. According to a decision by the Federal Joint Committee of September 19, 2019, liposuction for lipedema stage 3 will be covered by statutory health insurance, provided the requirements (conservative therapy without significant success for six months, weight under 120 kg and BMI under 35) are met.