One or more of the following techniques may be used.
Ablation (laser or radiofrequency)
A tiny cut in the skin is made near the varicose vein. A small tube called a catheter is inserted into the vein. Energy or heat released from the catheter tip will make the vein walls collapse and stick together. This stops all blood flow through the vein.
Sclerotherapy
Your doctor will inject the varicose vein with a special chemical that will quickly close the vein from the inside. This is especially useful for smaller veins.
Microphlebectomy or ambulatory phlebectomy
A special hook is used to gently take out a varicose vein through tiny incisions. Microphlebectomy may be done in your doctor's office.
Vein stripping and ligation
In more severe cases, where larger, deeper veins are involved, the surgeon may tie off and remove veins by making smaller cuts in the skin. Smaller branching veins may also be tied off or removed. This procedure is more painful and may need a longer recovery than other treatment choices. Generally, vein stripping and ligation are advised only for people who cannot be treated with a less invasive procedure.