The Medical Compression Hosiery ecosystem spans polymer and elastane yarn suppliers upstream, specialised knitting and finishing manufacturers converting inputs into gradient garments midstream, and a fragmented downstream chain of pharmacies, durable-medical-equipment (DME) dealers, e-commerce platforms, and prescribing clinicians delivering products to varicose-vein, lymphoedema, diabetes, and post-thrombotic patients. Value is created through compression-profile engineering, fabric breathability, durability certification, and reimbursement coding; it is captured by brands that secure regulatory clearances, clinical-evidence dossiers, and payer listings, enabling premium positioning over commodity hosiery.