I work at a truly multidisciplinary centre — The Institute of Applied Dermatology (IAD) — in Kerala, India where we have developed an integrated approach for the treatment of lymphoedema. In India, lymphoedema is most commonly cased by lymphatic filariasis, a tropical disease that particularly affects the poor and is transmitted by mosquitoes. The integrated approach that we use combines both biomedical systems of medicine with ayurveda (India’s major traditional system of healthcare), homoeopathy, physiotherapy and yoga. But despite our success in providing locally-available, low-cost, patient-led and evidence-based care, our centre will struggle to progress and develop and extend our treatment protocols to chronic wound care, due to under-funding.