To report short term results of combining two modes of treating varicose veins - endovenous laser treatment for Great Saphenous Vein(GSV)reflux and sclerotherapy for incompetent perforators and accessory venous channels. 186 diagnosed and symptomatic varicose veins patients (66 women, 120 men; mean age 45.5 yrs) were treated with endovenous laser (for incompetent GSV) and sclerotherapy (for incompetent perforators and accessory venous channels). 253 lower limbs (76 left, 43 right, 134 billateral) were treated. 15 patients (18 legs; 7%) had ulcers. 7 patients (9 legs) had associated saphenopopliteal reflux. 10 MHZ linear Ultrasound (US) probe was used to map GSV. A 0.035 inch J-Guidewire introduced in GSV via locally anaesthesised site in proximal leg. A 5F sheath was advacned over the guide wire. A 610 μm laser fiber was inserted into sheath, and its tip placed at SFJ, location confirmed by US. Following perivenous local anesthesia, laser energy was delivered intraluminally at 14W in continous mode. Fibre was uniformly withdrawn. Sclerosant mixed with air to produce foam, was introduced through needle in perforators and additional venous channels under US guidance. All patients were advised ibuprofen and class II full-thigh stocking for 1 week. Clinical and US follow-up was done at 1 week, 3, 6 and 12 months. Criteria for successful treatment were US features (on day 7) of noncompressible GSV with reduced calibre and thick echogenic walls, and no colour flow within it. Primary failure was defined as failure to occlude or recanalised GSV lumen along with presence of reflux. 98% GSV were ablated initally. Rest underwent successful second sitting.7% limbs required one more session of sclerotherapy for new incompetent perforators. No DVT, nerve injury or skin burns were noted. 90% patients complained of tightness along the course of treated GSV. All non-healing ulcers responded well. Patients resumed routine activities immediately. Sclerotherapy is effective in dealing with perforators and provides rapid healing of chronic venous ulcers. Laser at the same time is effective in dealing with GSV reflux. Sclerotherapy and laser together demonstrate better outcome, limiting need of any subsequent procedure.