The key to modern, effective treatment of varicose veins is using duplex ultrasound, done in the standing position, to completely map out the size and location of all diseased veins, many of which are underneath the skin and not visible. By utilizing ultrasound to ‘see’ these hidden diseased veins, we can eliminate the root cause of most recurrences. Unless you had a complete vein mapping ultrasound in the standing position prior to your surgery, chances are the surgeon left behind some diseased veins, and that is why your problem came back. In addition, vein strippings were done in the hospital under general anesthesia and required prolonged and painful recovery times away from work. Our microsurgical procedures are done under local anesthesia right in our office. You are up and around immediately after the procedure, and most patients can return to work the very next day. And because our incisions are so small, there are no scars!