Moffat et al (2003) report that 1.33 people in every 1 000 of the UK population have chronic oedema, although the true prevalence is likely to be higher. Chronic oedema is often associated with a range of skin conditions, including hyperkeratosis. This article describes the use of a monofilament fibre debridement pad to reduce hyperkeratosis on the legs of a 57-year-old man with a long-standing history of bilateral lymphovenous oedema. As part of an holistic care programme, the monofilament fibre debridement pad was found to quickly and effectively reduce hyperkeratosis.