Vein Stripping
Benefits of Vein Stripping
Surgical treatment for advanced cases of chronic venous insufficiency. While newer, minimally invasive options – Endovenous Laser Treatment (EVLT), Ultrasound-Guided Foam Sclerotherapy (UGFS), or Microphlebectomy – are often preferred today, vein stripping remains a reliable solution in specific cases.
Why Vein Stripping is Used
Vein stripping is typically recommended for patients with significant venous reflux in the great or small saphenous veins—particularly when varicose veins are causing substantial discomfort, swelling, skin changes, or ulceration. It may also be used in cases of recurrence, when previously treated veins have reopened or new problematic veins have developed.
This procedure is most commonly reserved for:
- Advanced cases of chronic venous insufficiency
- Patients who are not candidates for thermal or chemical ablation
- Cases where vein anatomy prevents catheter-based treatment
How the Treatment Works
Vein stripping is performed under general or regional anesthesia in a surgical setting. The procedure involves making small incisions at the top (near the groin) and bottom (typically near the calf or ankle) of the target vein. A thin, flexible wire is threaded through the vein, and the affected segment is gently pulled out (or “stripped”) from the leg. Often, adjacent varicose veins are also removed through small incisions, similar to microphlebectomy.
Because the diseased vein is removed entirely, blood is naturally redirected through healthier surrounding veins.
What to Expect
Before Treatment
A detailed ultrasound exam will be performed to assess your vein function and determine whether vein stripping is the best course of action. Your provider will explain the procedure and recovery process and provide preoperative instructions, including medication and fasting guidelines.
During Treatment
The procedure usually takes between 60 to 90 minutes and is performed in a hospital or surgical center. You will be under anesthesia and monitored closely throughout. Most patients go home the same day, though some may stay overnight depending on the extent of treatment and their overall health.
After Treatment
You’ll need to wear compression stockings to reduce swelling and support healing. Mild pain, bruising, and tightness are normal and usually subside within a couple of weeks. Walking is encouraged shortly after surgery to promote circulation, but strenuous activity should be avoided for a few weeks. Most people can return to work and normal routines within 1 to 2 weeks, depending on the physical demands of their job.
Although vein stripping is less common today thanks to advancements in minimally invasive procedures, it remains a valuable option in complex cases. If you have persistent or severe varicose veins, our vein specialists will assess your condition and help you determine if vein stripping is the right treatment for lasting relief.
Stratford Vein Clinic serves patients from across Southwestern Ontario. Our team of medical professionals provide varicose vein treatments including EVLT, Ultrasound-Guided Foam Sclerotherapy, Microphlebectomy, and Vein Stripping.
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Please note, we only see patients during pre-scheduled appointments. If you wish to self-refer, you can do so by completing the form on this page or by calling us during the following business hours. If you're being referred by a doctor, please direct them to this page.
Mon-Fri 8:30-4:00