Surgery·Surgery
Day of varicose vein surgery
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Varicose veins are swollen, twisted veins that you can see just under the surface of the skin, most often in the legs. They happen when the valves inside the veins stop working properly and blood pools instead of flowing back to the heart.
Key facts
Yes, varicose veins are very common. About 1 in 4 adults in the UK have them.
Anyone can develop varicose veins, but they are more common in women, people over 40, and those who stand or sit for long periods.
A doctor or specialist will examine your legs while you stand and may use an ultrasound scan to see how blood flows in the veins.
The diagnosis is usually straightforward. The ultrasound helps the doctor decide which treatment is best, including if surgery is appropriate.
Treatment for varicose veins ranges from self-care to medical procedures. Surgery is one option, often done when veins are large and causing symptoms. On the day of varicose vein surgery, you will have a procedure to remove or close off the affected veins. This is usually a day case, meaning you go home the same day.
Medical treatments include procedures done in a clinic, like using heat to close veins (thermal ablation), injecting a foam to seal them (sclerotherapy), or using special glue. These are less invasive than surgery.
After varicose vein surgery, you can usually return to light activities within a few days. Your leg may be bruised and sore, but walking is encouraged. Follow your surgeon's advice on when to return to work and exercise.
A balanced diet high in fibre (fruits, vegetables, whole grains) can help avoid constipation, which reduces pressure on leg veins. Staying active with walking is excellent. Swimming can be gentle on the legs.
You cannot always prevent varicose veins, but you can reduce your risk by staying active, maintaining a healthy weight, not crossing your legs for long periods, and taking breaks from sitting or standing.
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Routine screening is not needed. If you have a family history or symptoms, see your doctor for evaluation.
With treatment, most people get significant relief from symptoms and improvement in leg appearance. Surgery and other treatments are generally safe and effective. Recovery is straightforward for most, and the risk of complications is low. By following your healthcare team's advice, you can expect a good outcome.
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Always verify with your doctor
Health guidelines vary by country and region. The information in this article is based on international clinical guidelines but may not reflect the specific guidelines, medications, or practices in your country. Always discuss your health concerns with your own doctor or healthcare provider, and refer to your local national health guidelines where available.
Important notice This information is for educational purposes only. It does not replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider about your specific situation. If you are experiencing a medical emergency, call your local emergency services immediately.
This article is educational and is prepared with reference to recognized health information and clinical guidance sources where available. Specific source links may vary by topic.
Last updated: July 17, 2026
Educational note: This information is for education only and is not a diagnosis.
Use it to support, not replace, advice from a licensed clinician.
If symptoms are severe, worsening, or urgent, call your local emergency number or seek emergency care.
Surgery (called ligation and stripping or phlebectomy) is used for very large or twisted veins that don't respond to other treatments. On the day of surgery, the area is numbed or you may have a general anaesthetic. The surgeon makes small cuts and removes or ties off the problem veins. After surgery, you can usually walk immediately but will need to wear compression stockings and avoid heavy activity for a few weeks.
Varicose veins and their treatment can affect how you feel about your legs. It's normal to feel embarrassed or worried. Surgery often improves both symptoms and appearance, which can boost confidence.