ndividuals with breast cancer-related lymphedema (BCRL) without continual management experience symptom progression over time,1 highlighting the need for quality, long-term therapeutic programs. Exercise is recommended as one of the four components of established deconges tive therapy for individuals with BCRL; however, previous attempts to identify an effective exercise program in a con trolled study that effectively decreases arm swelling and improves flexibility have been a challenge for the medical profession. Exercise recommendations made during decongestive ther apy for a home program that addresses physical symptoms, but not the emotional symptoms, may result in less effective long-term home compliance. The high degree of physical morbidity in individuals with BCRL, including swelling and loss of limb flexibility, may lead to fibrosis,2 stasis3 and bouts of infection.4 Also, the high degree of psychological morbidity seen in individ uals with BCRL has been well estab lished with more severe emotional symptoms seen compared to those with a primary breast cancer diagnosis5 or the general population.6 Psycho logical morbidity appears to continue even after completion of active lymph edema treatment and is unrelated to the severity of the swollen limb.7 The Breast Cancer Recovery Program© (BCRP) is a program that provides an exercise/relaxation program which improves BCRL symptoms and compliance with home exercise. The purpose of this paper is to provide: