Currently there are no tests to establish a Lipedema diagnosis. Those professionals who are trained look for the symptoms and physical aspects of Lipedema. Pea or bean sized lumps under the skin when running the fingers across it. Disproportionate legs, ankle cuffs with normal size feet. Disproportionately large arms with cuffs at the normal size wrists and hands. While not all of these doctors are trained or even aware of Lipedema, it is often diagnosed by Vascular specialists, dermatologists, lymphadema specialists and Lipedema surgeons. Patients should request referrals to MLD therapists (manual lymphatic drainage)