Varicose veins of lower limbs, commonly known as “old rotten legs”, is a common disease in vascular surgery diseases, many reasons can lead to this disease, the most common reason is related to long time standing, walking work, such as salesman, traffic police, teachers, etc., and the second is related to congenital factors, such as deep venous insufficiency of the lower limbs and other diseases. Varicose veins in the lower limbs in the early stage mainly manifest as lower limb soreness, weakness, calf swelling, can be relieved after lying down and resting, in the lower limb skin appear red or blue like spider webs, earthworms twisted blood vessels or like tree tumor like hard nodules; later appear skin pigmentation, eventually form skin ulcers, after a long time, become “old rotten legs”. Seriously affect the quality of life of patients! The treatment of varicose veins in the lower limbs should take a systematic treatment method, including general treatment, drug treatment and surgery. The treatment of this disease should not rely solely on surgical treatment and ignore the systemic treatment, which leads to recurrence in some patients. Patients should consult a professional vascular surgeon at the early stage of varicose veins in the lower extremities to treat the disease accordingly and slow down its development. In the early stage of the disease, general treatment can be taken, mainly including 1, proper exercise, avoiding long time standing, walking and weight bearing; 2, wearing medical elastic stockings when going out to work and activities; 3, elevating the lower limbs when resting, such as raising the bed leg by 10-20cm; 4, the water should not be too hot when bathing the legs, avoiding sauna bath; 5, when sitting still for more than one hour, proper exercises such as tiptoeing to promote Lower limb blood reflux; 6. Drink more water appropriately to avoid blood concentration. When the general treatment methods cannot significantly relieve the symptoms of lower limb soreness and weakness, it is necessary to cooperate with medication. Medication is mainly oral medication that can improve venous tone and promote venous blood return, such as Avalanche, Mizarin, etc. When skin pigmentation appears in the lower limbs, surgery should be performed early. The surgical method is mainly varicose vein stripping with endovenous laser treatment, which is thorough, less invasive and quick recovery, and is popular among vascular surgeons. There are also some young patients with lower extremity deep vein valve insufficiency that require surgery for lower extremity deep vein valve repair to improve the surgical treatment effect and reduce recurrence after surgery. The best time to perform the surgery is when the skin pigmentation of the lower extremities is not yet present, to achieve better results and improve the patient’s life treatment. Especially for beauty lovers, early treatment can be done in a minimally invasive way, which basically leaves no scar on the leg and does not affect the aesthetics. After surgical treatment you should still protect the affected limb and avoid standing or sitting for a long time. Change your posture frequently to promote blood flow, obese patients should lose weight and insist on wearing medical elastic stockings to reduce the chance of recurrence of varicose veins in lower limbs.