Livedoid vasculopathy is a rare condition characterized by recurrent painful ulcers on the lower extremities. It primarily affects young to middle-aged adults, with a slight female predominance. The exact prevalence of livedoid vasculopathy is unknown, as it is often misdiagnosed or underreported. However, it is estimated to occur in approximately 1 in 100,000 individuals. The condition is challenging to treat, and management typically involves a combination of medications and lifestyle modifications. Early diagnosis and appropriate management are crucial to prevent complications and improve the quality of life for affected individuals.