Do I Need Surgery for Long Term Leg Swelling and Tightness?

Since you have been experiencing leg tightness and swelling for nearly 20 years, this appears to be a long-standing condition that needs proper evaluation.

You mentioned that your leg feels tightly bandaged and has swelling, and you are currently on medication, including a blood thinner. If your doctor has recently advised surgery, it is likely based on the progression or severity of the condition.

However, before proceeding, it is important to review your medical reports, current medications, and overall health condition carefully, especially because you are taking blood thinners.

Surgery decisions are usually made after assessing the cause of swelling (such as vascular issues, chronic inflammation, or other underlying conditions). The exact cost and procedure details should be clarified directly with the treating specialist after reviewing diagnostic reports.

Since this is a chronic issue and you are on blood-thinning medication, do not stop any medicine without consulting your doctor. The next best step would be to meet a specialist with all your reports for a clear treatment plan.