Background: The goals of varicose vein treatment include symptom relief, enhanced quality of life, and complication prevention. Two primary treatment options for varicose veins are endovenous ablation and surgical stripping. This research aimed to compare between endovenous ablation and surgical stripping for varicose veins.

Patients and methods: We carried out this prospective cohort research on 36 patients with symptomatic varicose vein admitted to vascular surgery department, Zagazig University Hospitals. The patients were divided into 2 groups according to management technique: Endo-venous ablation group (21 patients): undergone Endovenous Ablation of varicose veins. Surgical Stripping group (15 patients): undergone Surgical Stripping of varicose veins.

Results: Postoperative hematoma was observed in the Stripping surgical site in 14.3% of cases while it was absent in Endo-Venous ablation. Postoperative Tingling was present in 19% of Endo-venous Ablation surgical site and in 6.7% of stripping surgical site. Residual Varicose vein was observed in 13.3% of stripping surgical site cases and in 9.5% of Endo-venous Ablation surgical site cases. Both groups showed no recurrence. Patient satisfaction was significantly higher (p=0.023) among most cases of Endo-Venous ablation Group (95.2%) versus 66.7% of stripping surgical site cases.

Conclusion: In the early and mid- postoperative period the effectiveness of endo-venous ablation was comparable to that of the conventional therapy. Complications and recovery time were also comparable. In the management of primary varicose veins in the lower limbs, endo-venous ablation yields better results than conventional stripping surgery in terms of patient satisfaction.