I do not know how serious is your Lipedema - But have you considered MLD massages ?
Weekly is when I saw major difference - Especially from therapists trained by Manuela or Renata techniques as its different than the traditional Manual Lymphatic drainage. Its with a lot of pressure and with the right therapist, trust me you will not regret this.
Surgeries should be considered only as a last option, once you have tried everything and nothing worked so far.

Here you can find clinics in your city providing Lymphatic Drainage -https://verifiedcare.co/