Endovenous laser therapy is one of the newest techniques for the treatment of varicose veins as the result of superficial venous insufficiency. A tiny laser fiber is inserted into the vein, with ultrasound guidance, to the exact source of the venous problem. Laser pulses are then used to close the vein. It requires a small non-scarring incision in the skin, local anesthesia, no hospitalization and short recovery. In some cases, other treatments including sclerotherapy, ultrasound guided sclerotherapy, foam sclerotherapy, and or ambulatory phlebectomy, are used in combination with endovenous laser therapy.