Ambulatory Phlebectomy (AP) involves the surgical removal of surface varicose veins through a series of tiny stab incisions using specialized clamps and hooks. The incisions are so small that no stitches are required. Since veins are very collapsible, even large varicose veins may be removed through the tiny stab incisions using this technique. In general, ambulatory phlebectomy does not fix the root or cause of the underlying vein problem. AP is an office-based procedure done using only dilute local anesthesia, usually in conjunction with endovenous laser ablation. Since visible surface veins are surgically removed, the results are usually immediate, and recurrence is unlikely. Following an AP procedure, a compression stocking and bandage is worn and walking is immediately encouraged to increase venous flow and to reduce the risk of blood clot formation. Complications are minimal in the hands of an experienced Vein Specialist.