Objective: Tumescent anaesthesia and transillumination can be used in removing varicose veins (VV) together with a specially designed rotating resector device and suction drain system (transilluminated powered phlebectomy, TIPP). The purpose of this study was to evaluate safety, short-term results and learning curve of this novel technique in the treatment of primary and recurrent VV. Methods: A total of 135 legs in a cohort of 96 patients received surgery for varicose disease in one private hospital during a 14-month period. All operations were performed by a single surgeon using TIPP alone or together with hook phlebectomy and stripping of great or short saphenous vein. This retrospective data included the following issues: preoperative evaluation (Doppler or duplex), perioperative details (duration of operation, number of incisions, used techniques) and postoperative examination two weeks and six months after surgery (complications, short-term results). Results: The mean age was 48 years and 92 patients (96%) were women. There were 39 (41%) bilateral procedures and 78 legs (58%) had a recurrent varicose disease. The distribution of clinical, aetiological, anatomical and pathophysiological clinical class was as follows: class C2 16%, class C3 79% and class C4 5%. TIPP was performed without other surgical procedures in 29 (21%) legs. Duration of operation (mean) was 81 min in primary legs, and 84 min in recurrent cases. The number of incisions was 3.2 in primary legs and 4.5 in recurrent ones. Complications were noted in 11 (8%) of the legs two weeks postoperatively. Pigmentation was noted in 10 (7%) legs (10.3% in recurrent legs and 4.0% in primary legs) and residual VV in 11 (8%) after a six-month follow-up. No major complications (deep infection, deep venous thrombosis, fat embolism, pulmonary embolism) were found during the six-month follow-up. When the beginning of the learning curve (31 legs) was compared with subsequently operated 104 legs, there were more skin lesions (6.5 versus 0%; P < 0.05), and more residual VV in the follow-up (16 versus 8%; P < 0.05) at the early stage of the learning curve. However, no difference was noted in the incidence of pigmentation, infection, haematomas or lymphatic disorders. Conclusions: Rate of complications after TIPP is low in patients undergoing day-case surgery for varicose disease. The number of incisions is low in both primary and recurrent legs. Late pigmentation is not frequent, but the incidence of pigmentation is higher in recurrent legs. Residual varicosis is rarely seen in six-month follow-up.