Endovenous Laser Ablation is a minimally invasive procedure done in doctor's office under local anesthesia which aims at closing the bad part of the vein. The laser energy will lead to closing such veins, This will heel within weeks and end with a firm closure and eventually will be partially or totally absorbed by the body. The patient would feel only the anesthesia as few tiny needles in the skin first and then minimal discomfort from injecting the anesthetic around the treated vein. Normally patient doesn't feel any pain after anesthesia. Pain and tenderness after the procedure are usually tolerated. Ibroprufen like medications may be prescribed for a couple of days. Most patients are usually able to resume their work and daily activities right after the procedure, except for strenuous work or heavy lifting for 1-2 weeks. Using compression stockings after the procedure fore variable period of time is very helpful (2-3 weeks).EVLT (EVLA) is considered a fairly safe and effective procedure. Usually the veins closed by the endovenous laser ablation are the refluxing ones (means have damaged valves inside) responsible for producing the varicose veins. Success rate of closure for 2 years is reported to exceed 90%.