Endovenous laser ablation (EVLA) is an ultrasound guided, minimally invasive procedure that uses controlled heat from a laser to cause collapse and sclerosis on the varicose vein wall. The skin incision is 2-3 mm and the procedure is done under local anesthetic. Published success rate of EVLA in 5 years follow up is above 95%. Endovanous laser varicose vein surgery has some uncommon (less than 5%) risks such as infection, pain, minimal bleeding. There are some rare (less than 1%) complications as well such as skin burn, painful lump, blood clots (deep or superficial) and nerve damage during procedure.