The root cause of the lower extremity vein diseases (such as varicose veins and venous thrombosis) is the difficulty of lower extremity venous blood return caused by human uprightness, and blood stagnation in the lower leg, which causes incomplete closure of the venous valves over time, resulting in clinical varicose veins, soreness and swelling of the lower leg, and later on bruising dermatitis and even ulceration, which is a problem of blood stagnation. The treatment of lower extremity venous disease is not like cholecystitis or appendicitis, which can be treated once and for all after the operation, nor is it like simple bacterial infection, which is mainly treated by medication. This type of disease emphasizes a combination of treatment, i.e., correction of lower extremity stasis on the one hand and secondary pathological changes caused by long-term stasis on the other. The overall treatment consists of four main measures: elevation of the limb, elastic stockings, surgery and medication. The first two measures are very important for the treatment of the cause, and only on this basis can surgery and medication be effective. Many patients always feel that they have to operate or take medicine, and the doctor’s order to elevate the foot or suggest them to wear elastic stockings is not very useful, this concept is very unfavorable for the treatment of venous disease. In clinical work, there are often some patients with intractable ulcers, phlebitis or chronic venereal disease in outpatient clinics and emergency clinics, and my personal experience is that the most effective measure for such patients is to strictly require them to elevate their limbs in bed and use elastic bandages, and on this basis the effect is obvious with the medication to promote venous return. One of the most basic, and at the same time most neglected, is the doctor’s painstaking instructions to go back to bed rest, so that they realize the great significance of physical therapy. For the less severe venous disease, it is also important to develop the habit of elevating the limbs lying down every few hours and insisting on wearing elastic stockings to control the disease progression, improve the symptoms and prevent complications. We hope that doctors and patients will recognize the fundamental role of physical therapy so that venous disease can be cured more effectively!