Leg ulcers represent a significant cost to the NHS with the majority of care being provided in the community (Guest et al, 2015). Individuals living with leg ulcers experience physical, social, psychological and financial costs (Platsidaki et al, 2017). Despite the use of graduated, multi-layered high compression therapy, which is recognised as gold standard treatment (NICE, 2017), some individuals experience a protracted healing time. It has been estimated that the cost of managing an unhealed wound is 4.5 times more than the cost of managing a healed wound (Guest et al, 2015). It has been suggested that the application of a novel, compression strapping technique can enhance compression therapy and promote healing (Hopkins et al, 2013). This case series evaluates the clinical outcomes of three patients with hard-to-heal retromalleolar ulcers using a novel compression strapping technique and evaluates the acceptability of the technique to patients and clinical staff.