This 49-year-old executive presented with a long standing history of lower leg ache and obvious varicose veins.

One endovenous laser ablation treatment followed by a single session of ambulatory phlebectomy relieved the pain completely and improved the appearance of the leg dramatically. The patient was required to wear compression stockings and was asked to walk for half an hour daily for 14 days after each treatment. No stitches were required and the patient was pleased with the outcome. There is a 1 in 5 chance that this patient will require more treatment over the next 5 years.

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