14 doctors weighed in:
Is varicose vein surgery painful?
14 doctors weighed in

Dr. Ted King
Phlebology
6 doctors agree
In brief: It depends
Although every procedure has some discomfort associated with it.
How much you feel depends on what you are having done. If you have surgery or an endovenous thermal procedure, you will get an anesthetic during the procedure so that you won't feel anything. The amount of pain you will have afterwards will be worse with surgery but your doctor can prescribe medicine for you to keep you comfortable.

In brief: It depends
Although every procedure has some discomfort associated with it.
How much you feel depends on what you are having done. If you have surgery or an endovenous thermal procedure, you will get an anesthetic during the procedure so that you won't feel anything. The amount of pain you will have afterwards will be worse with surgery but your doctor can prescribe medicine for you to keep you comfortable.
Dr. Ted King
Dr. Ted King
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Dr. Paul McNeill
Surgery - Vascular
3 doctors agree
In brief: Typically No
Varicose vein treatments have come a long way since the days of "vein stripping".
Treatments (such as vnus closure) are done in the office in about 30 minutes and only require local anesthetic. There is no downtime. You can go back to work immediately and back to exercise in 4 days. The only sensation that you typically feel is a "pinch" while the your physician is numbing your skin.

In brief: Typically No
Varicose vein treatments have come a long way since the days of "vein stripping".
Treatments (such as vnus closure) are done in the office in about 30 minutes and only require local anesthetic. There is no downtime. You can go back to work immediately and back to exercise in 4 days. The only sensation that you typically feel is a "pinch" while the your physician is numbing your skin.
Dr. Paul McNeill
Dr. Paul McNeill
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1 comment
Dr. Ted King
It is pretty safe to say that the old days of terrible pain after vein striping surgery that your parents and grandparents had are over in the US. There are much less painful alternatives, as Dr. McNeill said. If you have bothersome varicose veins and have been putting off treatment because of fear of pain, don't be afraid any more.
Dr. William Purtill
Surgery - Vascular
2 doctors agree
In brief: Yes
Every procedure or surgery is to some degree painful.
Most of my patient have their pain controlled with ibuprofen/advil. They need that for 4-7 days approx. It is therefore moderate pain. They usually feel the pain was worth it.

In brief: Yes
Every procedure or surgery is to some degree painful.
Most of my patient have their pain controlled with ibuprofen/advil. They need that for 4-7 days approx. It is therefore moderate pain. They usually feel the pain was worth it.
Dr. William Purtill
Dr. William Purtill
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Dr. Norman Chideckel
Surgery - Vascular
In brief: Pain
Most procedures are accomplished by thermal ablation - laser Not much discomfort after procedure

In brief: Pain
Most procedures are accomplished by thermal ablation - laser Not much discomfort after procedure
Dr. Norman Chideckel
Dr. Norman Chideckel
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Dr. John Landi
Phlebology
In brief: Laser closure.
I do a procedure called laser ablation closure of the saphenous veins.
It is not painful. The procedure is done under local tumescent anesthesia which is a very dilute local anesthesia which is injected along the course of the saphenous veins prior to layering. Sometimes oral sedation is also used. If there are large varicose veins these are removed through small micro (2mm) incisions.

In brief: Laser closure.
I do a procedure called laser ablation closure of the saphenous veins.
It is not painful. The procedure is done under local tumescent anesthesia which is a very dilute local anesthesia which is injected along the course of the saphenous veins prior to layering. Sometimes oral sedation is also used. If there are large varicose veins these are removed through small micro (2mm) incisions.
Dr. John Landi
Dr. John Landi
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Dr. Joel Gotvald
Surgery - Vascular
In brief: Depends on Treatment
Although every surgical procedure has some degree of discomfort, there are definitely certain vein treatments that are more painful than other. The least invasive, or sclerotherapy, has mimimal pain.
Laser or rf ablation involves a few shots of novacaine and then it is painless. Patient report pain relief with Ibuprofen alone during the recovery. The most painful is phlebectomy or stripping.

In brief: Depends on Treatment
Although every surgical procedure has some degree of discomfort, there are definitely certain vein treatments that are more painful than other. The least invasive, or sclerotherapy, has mimimal pain.
Laser or rf ablation involves a few shots of novacaine and then it is painless. Patient report pain relief with Ibuprofen alone during the recovery. The most painful is phlebectomy or stripping.
Dr. Joel Gotvald
Dr. Joel Gotvald
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