There are many surgical methods, the two main ones being high ligation and high ligation with diversion. There are three types of high ligation: transinguinal, retroperitoneal and laparoscopic. Long-term clinical observation of various surgical methods, the postoperative results do not differ greatly. Laparoscopic surgery is highly disturbing to the abdominal cavity, and a small 2.0 cm incision can solve the problem, and 2~3 holes have to be made. The most commonly used surgical method at present is transinguinal internal spermatic vein high ligation. I have used a 2.0 cm long incision parallel to the groin at the internal ring under local anesthesia or lumbar anesthesia since 1996 to surgically treat patients with spermatic veins. I have received satisfactory results. This procedure is simple, easy to perform, less invasive, minimally invasive, and has the advantages of rapid postoperative recovery.