Lymphoedema, a distressing consequence of breast cancer and gynaecological treatment, requires effective prevention strategies. The quest for preventing lymphoedema following breast and gynaecological cancers revolves around identifying risk factors and using effective prevention strategies, which has become a crucial focus of research and clinical practice. Risk factors for breast and gynaecological cancer-related lymphoedema include more extensive lymph node dissection extent, receipt of radiation or chemotherapy, obesity, rurality, and age. Identifying high-risk individuals enables targeted prevention efforts, improving patient outcomes and quality of life. Regular monitoring and early detection processes are crucial in reducing the impact of lymphoedema post-breast and gynaecological cancer. Prospective surveillance, using objective validated and reliable measurement techniques, allow for timely interventions, reducing lymphoedema severity and chronicity. Compression garments, for the limbs, hands and feet have a pivotal role in lymphoedema prevention and management. In the prevention phase, compression aids in reducing swelling during activities that may increase the risk of lymphatic overload. It supports lymphatic function, enhances tissue pressure, and promotes fluid drainage, thus preventing the progression of the condition. Controlled and monitored exercise regimens can reduce the risk of lymphoedema. Gentle, graduated exercise routines help stimulate lymphatic flow, improving lymphatic drainage and overall tissue health. Successful implementation requires a multidisciplinary approach, with collaboration between surgeons, oncologists, lymphoedema practitioners and nurses. Standardised protocols for risk assessment and monitoring during follow-up visits, enable early detection and timely interventions. Educating cancer survivors empowers them to take an active role in their healthcare. Preventing lymphoedema following cancer requires proactive measures. Prospective surveillance, compression therapy, and exercise interventions can improve patient outcomes, mitigate lymphoedema-associated burden, and enhance quality of life. The significance of early detection and personalised interventions contribute to the advancement of cancer survivorship care.