Endovenous Laser Ablation vs. Traditional Vein Surgery
How modern laser treatment compares to traditional vein stripping—and why most patients now choose the minimally invasive option.
For decades, treating large varicose veins meant vein stripping surgery—a hospital procedure with general anesthesia and weeks of recovery. Endovenous laser ablation (EVLA) has revolutionized vein treatment, offering equal or better results with far less downtime.
Head-to-Head Comparison
| Factor | Laser Ablation (EVLA) | Vein Stripping Surgery |
|---|---|---|
| Anesthesia | Local only | General or spinal |
| Location | Office procedure | Hospital/surgery center |
| Incisions | Tiny needle puncture | Multiple incisions |
| Procedure Time | 45-60 minutes | 1-2 hours |
| Recovery | Same day, walk immediately | 2-4 weeks off work |
| Pain | Minimal | Significant post-op pain |
| Scarring | None visible | Multiple scars |
| Success Rate | 98% | 95% |
How Laser Ablation Works
Is Laser Right for Everyone?
EVLA works for most patients with varicose veins, but some situations may require other approaches:
- Very tortuous (twisty) veins may need microphlebectomy instead
- Small spider veins are better treated with sclerotherapy
- Some anatomical variations may require alternative techniques
Insurance Coverage
Most insurance plans cover EVLA when varicose veins cause symptoms. We verify coverage and handle pre-authorization for you.
Ready for Modern Vein Treatment?
Schedule your free consultation to see if laser ablation is right for you.