The treatment for varicose veins has been debated, and the past concept that for varicose veins without obvious symptoms or elderly patients can be treated conservatively, including medication or elastic stocking treatment. This view has a great prevalence and is based on the traditional concept that surgical treatment is traumatic, economically burdensome and risky for the patient’s advanced age for surgical reasons, which also has some justification. First of all, varicose veins are a kind of continuously progressing lesion, and with the continuation of time, the lesion will be gradually aggravated, including the enlargement of the lesion and the emergence of complications, and drugs and elastic stockings, as the main means of conservative treatment of varicose veins, can only delay the development of the disease but cannot treat the root of varicose veins. Therefore, medications can only be used as an adjunctive treatment after varicose vein surgery in the lower extremities. Although the effect of elastic stockings is exact, they need to be worn for life, and they are troublesome and expensive to use. At present, the vast majority of patients who initially wear compression stockings eventually opt for surgery. So. Since surgery is required in the end, the time and effort spent on conservative treatment is wasted. In addition, the increased severity of the lesion can cause physical and mental suffering and increased trauma and delayed healing during surgical treatment, which can add to the pain and financial burden if complications occur. One of the consequences of the development of varicose veins is that the blood from the deep veins flows back into the superficial varicose veins, which in turn flows back into the other superficial venous systems, creating an ineffective circulation and increasing the burden on the normal lower limb veins. Over time, it leads to or aggravates the degree of deep vein and traffic vein valve lesion so that the scope of the lesion is expanding, the degree is aggravated, and the degree of progress of the lesion is also more and more rapid. And the severity of lesions of deep veins and traffic veins is an important factor in the chance of recurrence after varicose vein surgery. Once the disease reaches thrombophlebitis, edema, hyperpigmentation, bruising dermatitis or ulcers, the effectiveness of the surgery is greatly reduced. For example, the surgery does not completely eliminate the darkening of the skin, topical medications are needed for post-operative bruising dermatitis, and phlebitis takes a long time to subside. However, with the continuous development of medicine, the answer to the question of whether varicose veins are better treated surgically or conservatively first has changed dramatically. More and more varicose vein patients are opting for early minimally invasive surgical treatment. Geriatric patients’ general condition decreases with age. If they do not undergo minimally invasive surgery early on and later develop complications from varicose veins, they often cannot be treated because they cannot tolerate the surgery. Therefore, in order to be more comfortable and aesthetically pleasing and to avoid these complications, the best option is to address varicose veins early before complications arise. Medical advances have also led to more and more minimally invasive surgical options for varicose veins in the lower extremities. The adoption of minimally invasive surgery has shortened the time required to be hospitalized for one or two weeks to within a few days, and large incisions with multiple incisions have become microincisions with fewer incisions or even no incisions. Although varicose vein surgery has a certain rate of recurrence, even if recurrence occurs, it can be treated effectively again.