Varicose veins need surgery or not to be judged according to the condition, varicose veins are formed due to valve insufficiency in the saphenofemoral veins of the lower limbs, valve regurgitation causes high pressure in the distal veins, and varicose nodules are formed after blood suppression. Varicose veins are clinically divided into six stages. For early stage varicose veins, that is, the first to third stage varicose veins, conservative treatment is still recommended, wearing medical elastic stockings, avoiding prolonged standing, prolonged standing, elevating the limbs appropriately, and eating some drugs to improve the function of veins, that is, Mai Zhi Ling and Ai Veilang, which can effectively prevent the aggravation of varicose veins, but it is unlikely to eliminate them completely. For varicose veins of stage three or more, that is, varicose veins with distal ulcers, pigmentation, and thrombophlebitis, active surgical treatment is recommended. Surgical methods include high saphenous vein ligation and stripping, radiofrequency, laser, microwave and other minimally invasive treatments for saphenous veins.