Varicose veins in the lower extremities is not strictly speaking an exact name of the disease. It is a clinical manifestation, a symptomatic descriptive diagnosis. A variety of diseases can cause varicose veins of lower extremities, such as: lower extremity deep vein valve insufficiency, sequelae of deep vein thrombosis, Buga’s syndrome, inferior vena cava obstruction syndrome, congenital venous malformation bone hypertrophy syndrome, etc. Qin Shiyong, Department of Vascular Surgery, Shandong Qianfo Mountain Hospital The most common simple varicose veins of the lower extremities are mostly genetically related, and many patients have a family history. That is, if someone has lower extremity varicose veins, his father, his children or his siblings, relatives, etc. may also have lower extremity varicose veins. Most patients do not consider varicose veins in the lower extremities as a disease because they are not painful, not itchy, and at most a little unsightly. Some people even go untreated for the rest of their lives without causing any complications. However, some patients may develop itchy skin, eczema, ulcers, or even redness, subcutaneous hard nodes, blood clots, or wounds that do not heal due to trauma, insect bites, and other triggers, or bleeding after trauma. This part of patients should then consider consulting or actively treating, or even having surgery. Of course, some young female patients also choose surgery, especially minimally invasive surgery, for the sake of “beautiful legs”. My suggestions are: a. If you have varicose veins in lower limbs, you must go to a regular hospital and choose whether to treat or not to operate after the cause of the disease is clear. Don’t make a decision blindly to avoid misdiagnosis and mistreatment, which will bring you unnecessary pain and loss. Second, wearing medical elastic stockings is helpful to reduce the fatigue, soreness and heaviness of lower limbs caused by varicose veins, and beneficial to delay the development of the disease, which can be tried. Third, sclerotherapy of varicose veins in the lower limbs is not suitable for all patients, so listen to the advice of vascular surgeons and do not believe in the fiction that varicose veins can be cured without medication or surgery. Fourth, laser or radiofrequency, many advanced devices and techniques have their own scope of application and cannot be a “cure for all diseases”. The “individualized treatment plan” for your condition is the best and most suitable method for you. Summary: Varicose veins are not a big problem, find the cause of the problem and go to the doctor; biased hearing and beliefs cost money and add to the problem, make a careful decision whether to operate or not.