Hirota Internal Medicine Clinic is an internal medicine clinic located in Minami-Karasuyama, Setagaya-ku, Tokyo, with excellent access just a 2-minute walk from the south exit of Chitose-Karasuyama Station on the Keio Shinjuku Line. The clinic specializes in lymphedema treatment, providing conservative therapy that lifts and controls swelling that follows gravity upward against it, supporting treatment faithfully and patiently based on fundamentals. Leveraging clinical experience with over 10,000 patients to date, they offer treatment methods that do not burden daily life. The clinic also offers online consultations, easily accepting inquiries from home for those seeking a second opinion during lymphedema treatment, those who have difficulty visiting due to distance, and those unsure whether lower body thickness is due to swelling or body type. Additionally, they accept initial appointments for diabetes (in-person, insurance-covered medical care). English services are available, and barrier-free facilities are provided, creating an environment that accommodates diverse needs.