It is important to find out the exact cause of varicose veins in the abdomen and treat it systematically and regularly according to the cause. If it is due to Bulgular syndrome, it can be treated surgically or with minimally invasive interventions, after which the abdominal varicose veins will gradually subside. The most common type of abdominal varicose veins may be due to portal hypertension caused by cirrhosis, where the blood vessels dilate in a tortuous manner when the pressure increases, and most of them are manifested as varicose veins in the periumbilical vessels of the abdomen. Surgery to reduce portal pressure is required for complete management. Currently, the main clinical procedure to reduce portal pressure is the TIPS procedure, which enables the portal vein to enter the body circulation directly into the heart without passing through the liver. After the procedure, the pressure in the portal vein is greatly reduced, which will reduce the pressure in the inferior vena cava, and the varicose veins in the abdominal wall will gradually be relieved. Therefore, patients with abdominal varicose veins must go to regular hospitals for detailed examination to find the exact cause of the disease, and according to the cause of the systematic and standardized treatment.