• Endovenous laser therapy ablation: Also known as endovenous laser treatment or EVLA, this is a minimally invasive ultrasound-guided procedure that involves the use of ultrasound images and laser fibre in order to kill the delicate lining of the veins. After a few days following the procedure, the body absorbs the dead tissues, closing off the abnormal veins with minimal or no discomfort. This is one of the most commonly preferred methods as it involves far fewer complications and the recovery time as well as success rate of this method is much faster and higher than that of any surgical process.

• Vein ligation and stripping: This is a surgical procedure that is done in order to remove a damaged vein and prevent future complications like ulcers, clotting, etc. in the affected vein. During the surgery, two to three incisions, each ranging around 5 cm in diameter are made over the damaged veins and the veins are tied off or ligated. Normally, the recovery time in this procedure is longer than that of the minimally invasive techniques. This method is usually preferred in treating people who are suffering from trophic ulcers or varicose eczema as it is in this stage that skin starts decomposing and develops into a non-healing ulcer. 

• Transilluminated powered phlebectomy: This is a vein removal procedure that makes use of a bright light, which is known as an endoscopic transilluminator to illuminate the vein. During the process, a number of incisions will be made on your leg and the surgeon will place the transilluminator underneath your skin so they are able to see the veins that need to be removed. As soon as the veins are identified, they will be cut and will be removed through the incisions using a suction device. 

• Before the surgery, the doctor will carry out a physical examination in order to determine the location of the nonworking valves.
• You might be required to go through certain tests like an ultrasound test and a duplex/doppler test so that the surgeon can determine the amount of blood flow, and have a detailed assessment of the varicose veins.
• Before the procedure, it is important to discuss any prescription or over-the-counter medications that you are taking as it would eliminate the risks and possibilities of any complications.
• If there is a possibility of having any allergic reaction to the anesthesia, you should inform your doctor before going for the surgery. 
• Like any other surgical procedure, you will be required to refrain from consuming any food or liquids as your body might react to the anesthesia, which can lead to choking out stomach contents during the surgery.
• It is advisable to avoid taking certain medications like aspirin, blood thinners and other nonsteroidal anti-inflammatory drugs in order to rule out the possibility of any complications.
• You should take a shower before the surgery as the doctor would ask you to keep the surgical area dry in order to eliminate the risk of any infections after the surgery.

• Based on your doctor’s recommendation and depending upon your condition, you will be put under the influence of either general anesthesia or spinal/local anesthesia.
• If you receive general anesthesia, you will be asleep during the surgical procedure, while, in case of spinal anesthesia, the lower part of your body will be numb and you will stay awake during the procedure.
• If you are put under the influence of a spinal anesthetic, the doctor might give you anti-anxiety medicines in order to make sure that you don’t feel anxious or nervous during the surgical process.
• During the surgery, the doctor will make several cuts, or incisions around the top and bottom of the damaged vein. One of the incisions will be near your groin and the other will be in your lower leg, either in your calf or ankle.
• The surgeon will then insert a flexible, thin plastic wire into the vein through the incision made around the groin and then, the wire will be tied to the damaged vein and pulled out through the incision in the lower leg.
• Once the damaged vein is removed, the doctor will close the cuts or incisions with stitches and place bandages and compression stocking around the surgical area. 

• After the surgical procedure is completed, you will be put under observation until the reaction of the anesthesia wears off.
• Once you are fully awake, you will be shifted to the ward, where the surgeons will monitor your health conditions.
• You might experience some sort of stinging or burning in your leg as soon as you are awake. However, there will be no pain or discomfort and you will be able to consume food and other liquids within a few hours.
• During the first few days after the surgery, there might be some bleeding and it is best to keep the surgical area covered with bandages or compression stocking for the first few days.
• Depending upon your overall health conditions, you will be prepared for a discharge from the hospital.
• You will be advised to keep the surgical area dry and clean for a few days post the surgery in order to prevent the possibility of any infections around the wound.
• There is a possibility that you might experience some bleeding and it is best to keep the surgical area covered with bandages or compression stocking for the first few days.

The cost of a Varicose Veins treatment in India with Pristyn Care may range anywhere between Rs 50,000 to Rs 70,000. However, this cost varies from person to person depending on multiple factors such as:

• Severity of the condition
• Cost of medications
• Amount to be paid for diagnostic tests and lab tests
• Type and location of the hospital chosen to undergo the the treatment
• Consultation fee of the doctor