Can I have varicose veins removed without stripping?

I had varicose vein surgery a few years ago on my left leg. After the surgery, it was painful. I may need to treat my right leg but I don't want to go through that again. What would be the best alternative?

Answers from doctors (13)


Vein Treatment and Aesthetic Center

Published on Feb 08, 2013

Stripping is not necessary to effectively treat vein issues. One of the best methods is endovenous laser treatment(EVLT).

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1433_1408044095.jpg
Answered by Vein Treatment and Aesthetic Center

Stripping is not necessary to effectively treat vein issues. One of the best methods is endovenous laser treatment(EVLT).

Published on Jul 11, 2012


Vein Center of Orange County

Published on Feb 05, 2013

Good news! Most saphenous veins can now be treated with either thermal ablation or duplex-guided sclerotherapy. Both are non-surgical office procedures which are widely available and avoid the costs, scars, and post-op pain of surgery.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1015_1408044084.jpg
Answered by Vein Center of Orange County

Good news! Most saphenous veins can now be treated with either thermal ablation or duplex-guided sclerotherapy. Both are non-surgical office procedures which are widely available and avoid the costs, scars, and post-op pain of surgery.

Published on Jul 11, 2012


Vein Clinic of North Carolina

Published on Jan 30, 2013

You do not have to have vein stripping any more. I am surprised you had stripping a few years ago. There has been improved treatment for veins since at least 2000. However, it is physician preference. Have a consult with a vein specialist. It should include an ultrasound, which will determine how the veins are functioning. Following the results of the ultrasound, treatment options can be recommended.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1172_1408044089.jpg
Answered by Vein Clinic of North Carolina

You do not have to have vein stripping any more. I am surprised you had stripping a few years ago. There has been improved treatment for veins since at least 2000. However, it is physician preference. Have a consult with a vein specialist. It should include an ultrasound, which will determine how the veins are functioning. Following the results of the ultrasound, treatment options can be recommended.

Published on Jul 11, 2012


Arizona Vein Specialists

Published on Jan 30, 2013

Ambulatory phlebectomy is usually not as painful as stripping of the saphenous vein. Occasionally, sclerotherapy can be utilized. Your vein specialist can perform an ultrasound and advise appropriately.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1365_1408044094.jpg
Answered by Arizona Vein Specialists

Ambulatory phlebectomy is usually not as painful as stripping of the saphenous vein. Occasionally, sclerotherapy can be utilized. Your vein specialist can perform an ultrasound and advise appropriately.

Published on Jul 11, 2012


Cosmetic Vein Centers of Texas

Published on Jan 30, 2013

Stripping is no longer necessary to treat varicose veins.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/554_1447800116.jpg
Answered by Cosmetic Vein Centers of Texas

Stripping is no longer necessary to treat varicose veins.

Published on Jul 11, 2012


Michael F. Gioscia, MD, FACS, ABVLM

Published on Jan 30, 2013

There are alternatives to treating varicose veins without having to undergo procedures that require incisions (stripping, phlebectomy, etc). Less invasive procedures include radiofrequency ablation or EVLT (Endovenous laser), combined with adjunctive sclerotherapy. Such procedures avoid incisions, provide excellent short and long-term results, and have significantly shorter and less painful postoperative courses. You should seek the opinion of a trained specialist in all aspects of vein care, most preferably a vascular surgeon dedicated to the field of phlebology.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1296_1408044092.jpg
Answered by Michael F. Gioscia, MD, FACS, ABVLM

There are alternatives to treating varicose veins without having to undergo procedures that require incisions (stripping, phlebectomy, etc). Less invasive procedures include radiofrequency ablation or EVLT (Endovenous laser), combined with adjunctive sclerotherapy. Such procedures avoid incisions, provide excellent short and long-term results, and have significantly shorter and less painful postoperative courses. You should seek the opinion of a trained specialist in all aspects of vein care, most preferably a vascular surgeon dedicated to the field of phlebology.

Published on Jul 11, 2012


Finesse Surgical Solutions

Published on Jan 30, 2013

The visible varicosities usually result from an abnormality of an underlying large vein. These large veins (saphenous or perforators) can be treated with endovenous ablation. The visible varicosities will then reduce in size. At that point, you and your doctor can decide if the varices need further treatment for elimination. If they are markedly reduced, the veins can be left alone or can be further treated with sclerotherapy injections. If the varices are relatively large, they may require removal via miniphlebectomies.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1189_1408044089.jpg
Answered by Finesse Surgical Solutions

The visible varicosities usually result from an abnormality of an underlying large vein. These large veins (saphenous or perforators) can be treated with endovenous ablation. The visible varicosities will then reduce in size. At that point, you and your doctor can decide if the varices need further treatment for elimination. If they are markedly reduced, the veins can be left alone or can be further treated with sclerotherapy injections. If the varices are relatively large, they may require removal via miniphlebectomies.

Published on Jul 11, 2012


Advanced Vein Center

Published on Jul 03, 2012

We routinely remove veins in an office setting using local anesthetic and 2 mm incisions that do not require sutures. The patients drive themselves to and from the procedure and can resume most activities the next day. They rarely take anything for pain.


//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/464_1408044069.jpg
Answered by Advanced Vein Center

We routinely remove veins in an office setting using local anesthetic and 2 mm incisions that do not require sutures. The patients drive themselves to and from the procedure and can resume most activities the next day. They rarely take anything for pain.


Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Jun 01, 2012

If you have varicose veins then the best alternative would be a venous ultrasound, followed by a laser closure procedure and microphlebectomies. If you have varicose veins then most likely you also have vein reflux.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1053_1499982262.jpg
Answered by Vanish Vein and Laser Center

If you have varicose veins then the best alternative would be a venous ultrasound, followed by a laser closure procedure and microphlebectomies. If you have varicose veins then most likely you also have vein reflux.

Published on Jul 11, 2012


Vein Specialists

Published on Mar 06, 2012

Endovenous closure has been the gold standard for the treatment of the
underlying cause of varicose veins for the past 10 years. Stripping is no
longer used and should not be part of the conversation. Removal of
recurrent bulging veins years after a stripping procedure or other procedure
within the past 10 years should only be performed after a good venous
insufficiency ultrasound has been performed to exclude any other leaky veins
as the source of the varicose veins. Surgical removal of bulging varicose
veins is also known as microphlebectomy (micro=small, phleb=vein,
ectomy=removal) and is sometimes required to achieve the best result.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/740_1408044075.jpg
Answered by Vein Specialists

Endovenous closure has been the gold standard for the treatment of the
underlying cause of varicose veins for the past 10 years. Stripping is no
longer used and should not be part of the conversation. Removal of
recurrent bulging veins years after a stripping procedure or other procedure
within the past 10 years should only be performed after a good venous
insufficiency ultrasound has been performed to exclude any other leaky veins
as the source of the varicose veins. Surgical removal of bulging varicose
veins is also known as microphlebectomy (micro=small, phleb=vein,
ectomy=removal) and is sometimes required to achieve the best result.

Published on Jul 11, 2012


General Vascular Surgery Group

Published on Mar 06, 2012

Many times these veins can be eradicated with vein ablation (either laser or radiofrequency) see a vein MD and have an evaluation. Usually a vein stripping is no longer needed.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/922_1408044082.jpg
Answered by General Vascular Surgery Group

Many times these veins can be eradicated with vein ablation (either laser or radiofrequency) see a vein MD and have an evaluation. Usually a vein stripping is no longer needed.

Published on Jul 11, 2012


VeinCare Centers of Tennessee

Published on Mar 05, 2012

Vein stripping is a procedure which should only occasionally be performed since endovenous thermal ablation has become widely available. Be sure you see a physician who is experienced in endovenous thermal ablation, minimally-invasive microphlebectomy, and foam sclerotherapy so the appropriate minimally-invasive procedure may be offered to you.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/755_1499906765.jpg
Answered by VeinCare Centers of Tennessee

Vein stripping is a procedure which should only occasionally be performed since endovenous thermal ablation has become widely available. Be sure you see a physician who is experienced in endovenous thermal ablation, minimally-invasive microphlebectomy, and foam sclerotherapy so the appropriate minimally-invasive procedure may be offered to you.

Published on Jul 11, 2012


Angelo N. Makris MD

Published on Mar 05, 2012

Yes, venous ablation is the alternative.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/977_1408044083.jpg
Answered by Angelo N. Makris MD

Yes, venous ablation is the alternative.

Published on Jul 11, 2012


Related Questions for Varicose Vein Surgery

Varicose Vein Surgery -8 answers
I am 21 years old and recently I have developed a varicose vein on my penis. The vein gives me slight discomfort. I am not sexually active. How can I fix this vein? Is there any medication or procedure which can fix it? I don't like the look of the vein.
See More
Varicose Vein Surgery -8 answers
And, are there any options in terms of colors or styles?
See More
Varicose Vein Surgery -10 answers
I am 21 years old and within the past four years I have developed spider veins and large veins that are visible in my legs. They are also elevated over my shins. Varicose veins run in my family, but is this really all genetic or do I have a health problem?
See More
Varicose Vein Surgery -4 answers
Had a phlebectomy and VNUS done 4 weeks ago. I have lumps all along where the vein used to be (ranging from pea size to walnut size). They were painful & had them drained twice now. I still have lumps. What can be done? Will these resolve?
See More
Varicose Vein Surgery -7 answers
How long should I wait after varicose vein surgery to take an airplane trip, or does it matter?
See More
Varicose Vein Surgery -5 answers
My wife had superficial blood clots in leg. They took ultrasound and she just collapsed 13 days ago in my arms and died in the hospital of a blood clot in the lung. She was healthy and young. No history, sickness, fever. How can this happen?
See More
Varicose Vein Surgery -5 answers
I had a phlebectomy that was not successful, then laser ablation and sclerotherapy within 2 months of each other. I now have shooting pains in my leg... is this something that is normal?
See More
Varicose Vein Surgery -9 answers
I am getting ready to have a varicose vein treatment but am afraid that I may develop blood clots and die. What should I do? Thanks.
See More
Varicose Vein Surgery -8 answers
This pain occurs after I have been active on my legs. My varicose vein surgery was about five months ago.
See More
Varicose Vein Surgery -9 answers
I had a main vein stripped and incisions by knee done 4 days ago. It looks like its healing well, but I am getting a burning sensation. What does this mean?
See More
Get answers from our experienced doctors.
How it works
Varicose Vein Surgery -6 answers
What is the recovery procedure after the vein is removed? For example, do I have to sit and rest it and how long will i need off work?
See More
Varicose Vein Surgery -5 answers
I'm scheduled for weight-loss surgery, and I have large varicose veins on both legs. Will losing the weight change the pressure in my legs enough to make the varicose veins go away, or will I need surgery or other treatments?
See More
Varicose Vein Surgery -8 answers
I am 24 yrs old, and after i had my daughter i noticed my legs are veiny. The veins don't bulge out nor are spidery. i was wondering what are they? How should I get rid of them?
See More
Varicose Vein Surgery -9 answers
I had varicose vein surgery 14 years ago to strip veins from my right leg. I have had severe pain in my groin and lower abdomen for years. Just found out the surgeon left three surgical clips in my groin. They are to be removed. Why would he do this?
See More
Varicose Vein Surgery -10 answers
Is this a side effect of having varicose veins and can varicose vein surgery effectively treat this condition?
See More
Varicose Vein Surgery -8 answers
I have a large number of varicose veins covering both legs. I want to get them treated but I'm afraid I won't have many veins left! Is there a point where you shouldn't have them all removed/injected because there won't be enough circulation?
See More
Varicose Vein Surgery -12 answers
One week after varicose vein surgery I developed a golf ball size swelling on the inside of my ankle that is very sensitive to touch. Is this normal?
See More
Varicose Vein Surgery -8 answers
Can you fly safely with a superficial vein? I had some bleeding under the skin and I'm taking antibiotics. I fly on Friday and have a surgical stocking to wear. Is this OK?
See More
Varicose Vein Surgery -4 answers
If someone has had varicose vein surgery, can they come back? At any time? What are the odds of this?
See More
Varicose Vein Surgery -8 answers
I have spider veins and varicose veins. Will my insurance ppo bluecross pay for it? I was told by my insurance co they would pay if it is medically necessary, they hurt and are getting worse, I am a nurse.
See More
Get answers from our experienced doctors.
How it works

Related Articles

Have specific questions?
ASK A DOCTOR