Objective: To explore the lived experiences of body image alterations and stigma in patients with lower limb lymphedema following surgery for gynecologic malignant tumors, aiming to provide a theoretical foundation for developing targeted psychological interventions and transitional nursing care. Methods: Following a descriptive phenomenological approach, 14 patients were recruited via purposive sampling from the Gynecologic Oncology Center and Lymphedema Clinic of a Level-III Grade-A hospital between June 2023 and June 2024. Data from semi-structured interviews were analyzed using Colaizzi’s seven-step phenomenological method. Results: Three primary themes were identified, supported by illustrative quotes from the participants: 1) a fragmented and dysregulated body image (encompassing perceived physical deformity, restrictive sensory heaviness, functional helplessness, and diminished femininity); 2) multidimensional internalization of stigma (including social anxiety under the public gaze, defensive concealment, self-devaluation associated with the “cancer” label, and sensitive psychological projection); and 3) alienated social and intimate relationships (characterized by sexual avoidance in partnerships, frustration and guilt regarding family roles, professional marginalization, and social self-isolation). Conclusion: Patients suffering from lower limb lymphedema after gynecologic cancer surgery experience significant body image disturbance and profound stigma. Nursing professionals should implement early screening for psychological distress, facilitate body image reconstruction, and promote proactive coping mechanisms to enhance holistic rehabilitation and quality of life.
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