First conservative measures are used like raising your legs,elastic support,avoid excessive exercises,lose weight,healthy diet high in fiber and low in salt,avoid alcohol,walking exercise etc..The medical therapy includes sclerotherapy ,laser etc.Surgery is usually reserved for people who either do not get relief from the home care techniques or lifestyle changes, or who for cosmetic reasons want to try methods other than sclerotherapy or laser treatment to make their veins less prominent.The surgery involves either vein ligation (tying) or stripping or avulsion (pulling away) of the smaller branches.Endovenous laser therapy is a new technique that uses a laser to destroy the vein. Radiofrequency ablation is a similar technique to endovascular laser, but it uses heat to destroy the vein.