Varicose veins do not reoccur if treated correctly. Proper treatment of varicose veins involves two stages. First, the underlying “feeder” vein must be ablated (closed down). The root cause of varicose veins is venous insufficiency of a deeper vein. This source must be identified by ultrasound and closed down with a laser or radiofrequency catheter. Once this is done, Dr. Prevosti performs an ambulatory micro-phlebectomy of the varicose vein. This is a procedure done in the office under local anesthesia where the varicose vein is removed through tiny 1/8 inch slits. It is not vein stripping. There is usually no post-procedure pain and normal daily activities can be resumed the same day.