Abstract: Objective To introduce the key points about the transplantation of lymphatic transverse rectus abdominis myocutaneous/deep inferior epigastric perforator（TRAM／DIEP） and evaluate the therapeutic effect of lymphatic TRAM／DIEP to treat mastectomy related upper limb lymphedema.
Methods Ten patients of postoperative lymphedema after breast cancer surgery from Jan. 2008 to Mar. 2011 were enrolled in this study. All the patients suffered from unilateral upperlimb lymphedema accepted abdominal transplantation of lymphatic TRAM/DIEP. Results All flaps worked well. One case with breast reconstruction was found to have delayed cure of breast cuts. All the patients felt the pain and swellings of edematous upper limbs relieved. Conclusion To apply the transplantation of lymphatic TRAM／DIEP to treat mastectomy related upper limb lymphedema， accompanied by using elastic bandages as an auxiliary postoperative treatment is considered to be an effective method to restore the breast configuration and upper limb function.