Understanding the Different Types of Vein Surgery

At some point in their lives, about 20% of all adults get varicose veins or spider veins. If you’re one of them, you may wonder if surgery is in your future.

Veins carry blood from your tissues back to your heart. Valves in the veins keep the blood moving toward the heart. If these valves become damaged or weak, the blood can pool in the vein, instead of flowing toward the heart.

Once the blood collects in a vein, it can often be seen on the skin. Varicose veins look like raised blue and purplish ropes or vines on your legs. 

In many cases, varicose veins are just an aesthetic problem. In other cases, varicose veins can cause pain and discomfort. In rare cases, they can lead to health issues such as leg ulcers and thrombosis. 

Anyone can get varicose veins, but they’re more common in women and older people. In most cases, we can treat varicose veins with lifestyle modifications, such as changing the way you sit and moving around more frequently. 

But if noninvasive treatments are not successful, a surgical procedure can help. That’s where our vascular surgical team at Suffolk Vascular & Vein Center comes in. Here we explain the different types of vein surgery.

Vein stripping

During a vein stripping procedure, we make two incisions in order to gain access to the vein. We tie the vein and then remove it through the incision. The blood naturally reroutes through other veins. 


During this procedure, we make a number of small incisions to gain access to small varicose veins. We then cut the vein and remove it through these small incisions. Since the cuts are small, the scarring is minimal. 

Endovenous ablation

This non-invasive procedure uses a laser or radiofrequency energy to heat the vein structure. This heat energy causes the vein to collapse, and it subsequently gets absorbed by the body. 

Endoscopic vein surgery

We use this minimally invasive procedure primarily to treat leg ulcers when other treatment options have failed or are unavailable. We insert a small video camera into your leg so that we can see the varicose vein and close it before removing it through small incisions.


During sclerotherapy, we insert a solution into your vein that causes it to close and eventually collapse. The closed vein disappears after a few months.

Do you have painful, itchy, or unsightly varicose veins? Call one of our clinics in Riverhead, Port Jefferson Station, or Hauppauge, New York, to find out if you’re a good candidate for vein surgery. You can also request an appointment through our online booking tool.

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