Abstract
Varicose veins are a common problem in the United States, affecting anywhere between 10% to 30% of adults. Traditionally, varicose vein therapy consisted of high ligation and surgical stripping (HL/S). Surgical correction of an incompetent great saphenous vein reduces reported pain and increases physical functioning.3However, more recent treatment modalities have emerged rivaling HL/S in terms of health outcomes and cost-effectiveness. These therapies include endovenous laser ablation, ultrasound-guided foam sclerotherapy, and radiofrequency ablation.There remains a lack of evidence demonstrating differences in efficacy or cost-effectiveness of these therapies in comparison to HL/S.
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