Varicose veins in the elderly can usually be treated surgically if there are no contraindications to surgery. There are many treatments for varicose veins in the elderly. If the condition is not serious, conservative treatments can be taken, but if the condition is more serious, surgical treatments are often needed to relieve the symptoms, which include minimally invasive surgery and open surgery. Minimally invasive surgery is more commonly used for interventional-guided ablation treatment, and can also be taken to the cavity, the surgery is less invasive, and postoperative recovery is faster. Some patients are unable to take minimally invasive surgical treatment, can use the traditional high ligation plus stripping. However, before doing the surgery, it is necessary to clarify whether the elderly have heart disease, liver and kidney disease and other chronic diseases. To avoid serious complications after surgery, if they suffer from underlying diseases they need to be stabilized before surgery. Elderly people with varicose veins should consult the doctor in time, cooperate with the doctor to do the relevant examination, and choose the appropriate treatment as soon as possible after the diagnosis is clear.