The principles presented in this document represent the consensus opinion of an international expert working group who met in June 2007. They build upon and are influenced by the recent monograph Chronic Venous Insufficiency and Venous Ulceration - Aetiology and Treatment, 2006.

This consensus document has been adopted by the World Union of Wound Healing Societies as an educational initiative and provides principles of best practice on the use of compression in the management of venous leg ulcers. These principles are designed to help clinicians around the world make a real different to patient quality of life and clinical outcomes.

Venous leg ulceration and chronic venous insufficiency represent a significant health problem and the key to successful management lies in the use of compression therapy. However, numerous factors can influence a clinician's ability to achieve effective compression. The wide range of compression systems available, variations in terminology and a lack of clear understanding of sub-bandage pressures can lead to confusion and ineffective care. In addition, many patients do not present with 'textbook' legs and bring practical challenges to the art and science of compression therapy.

Supported by an educational grant from ConvaTec Ltd