Video: Modern Varicose Vein Treatment: Walking the Same Day

A lot of people still imagine varicose vein surgery as a big operation with a long recovery. That used to be much more true. But modern endovenous treatment has changed things dramatically. For suitable patients, we can now treat the problem vein from inside the vein using image-guided techniques, usually through tiny access points rather than large cuts.

In my own practice, many patients are walking on the same day, going home the same day, and returning to normal activities of daily living very quickly. That does not mean there is no recovery at all. Some bruising, tightness, tenderness or a pulling sensation can happen. Compression socks may be needed. And I still give specific advice about heavy exercise, prolonged standing, hot baths and flying, depending on the patient and the treatment.

It is also important to say this: open venous surgery still has a role. Not every vein problem is best treated the same way. Some patients need endovenous ablation, some need foam sclerotherapy, some need phlebectomy, some need open surgery and some need a combination.

The key is not just having modern technology. It is choosing the right modality for the right patient at the right time. That is what I consider good venous surgery to be: personalised, precise, and designed to get people safely back on their feet.