Severe varicocele may cause scrotal swelling, male infertility, sex hormone secretion disorders, and even affect normal life, so it is recommended that this group of people to undergo surgery as soon as possible to improve the symptoms of other conservative treatments are usually ineffective, and of course, the final choice of surgery is up to the will of the individual to decide. Surgical methods for varicocele include open high spermatic vein ligation, microscopic spermatic vein ligation, laparoscopic high spermatic vein ligation, spermatic vein interventional embolization and so on. The choice of the specific surgical method should be based on the condition, physical condition and other reasons. For people with varicocele, if the disease is allowed to develop, it will lead to the enlargement of varicocele mass, swelling and pain in the scrotum area, affecting sperm production and quality, and insufficient secretion of sex hormone leading to testicular atrophy. Therefore, for people with severe varicocele, it is recommended to undergo surgery as soon as possible to improve the quality of life.