The current procedures for saphenous varicose veins include the traditional high saphenous vein ligation and stripping and the three minimally innovative techniques of endovenous laser treatment, transilluminated spinotomy, and endovascular radiofrequency. Traditional surgery has surgical and anesthetic risks, postoperative surgical scars, increased hospitalization costs, longer recovery time, and studies have shown that the recurrence rate is 18% after saphenous vein ligation and stripping and 45% at 3 months after saphenous vein ligation alone. 5-year follow-up patients have a recurrence rate of about 29%. Intraventricular laser therapy was first applied to capillary dilation in the 1970s, and with the development of long wavelength and pulsed lasers, the clinical application of laser technology has been expanded. EVLT has the following advantages over conventional surgery: ① Small surgical incision, reduced chance of wound infection, no surgical scar or small scar on the limb, easy for patients to accept; ② Small peripheral tissue damage, less bleeding, subcutaneous hematoma, low incidence of saphenous nerve injury; ③ Light postoperative pain Navarro reported that EVLT treated 40 limbs in 33 patients with complete venous atresia and no recanalization at a follow-up of 2 months-1 year. Treatment of 80 geniculate varicose veins unrelated to saphenous venous reflux was 100% successful at 2 years follow-up. min et al. reported results consistent with Navarro, treating 90 GSVs in 84 patients, and at 1 week postoperatively, 87 of the 90 GSVs were atretic, and the other 3 were atretic after retreatment. At 6 months postoperative, 73% of the GSVs were reduced in caliber by duplex ultrasound follow-up; 81% of the patients were reduced in caliber at 9 months postoperatively. Radiofrequency treatment uses the heat released by the radiofrequency probe to collapse the vein, which leads to thickening of the vein wall, constriction of the lumen, rapid mechanization and formation of fibrous strips, and eventual closure. Radiofrequency treatment of varicose veins has been performed in recent years in Europe and the United States with satisfactory results. merchant reported that at 24 months after the procedure, 85% of the treated veins were closed, 3.5% were nearly completely occluded, and only 11.5% were partially recanalized. Radiofrequency technique also has some potential problems such as deep vein thrombosis, recanalization, and recurrent reflux. In China, in 2004, Liu Peng et al. were the first to report that the use of radiofrequency technology combined with other surgical procedures to treat varicose veins achieved better results. However, this technique is not carried out in many units in China. Spitz et al. study confirmed that the treatment of varicose veins by spinotomy is safe, effective and aesthetic. In China, in 2004, Fu Weiguo reported 250 patients with an average hospital stay of 4.56 days and a one-stage healing of the incision with healing of the ulcer and pigmentation reduction after follow-up.Aremu et al. performed a prospective comparison with conventional surgery and found that although the incision was small and the operative time was short, there was no significant difference in postoperative pain and bleeding, the incidence of postoperative hematoma formation and abnormal skin sensation was higher, and the treatment costs were higher than the above two.