Phlebectomy is a minimally invasive procedure for the removal of varicose veins. Generally performed in an office setting, with local anesthesia, the physician uses a small scalpel or needle to make tiny incisions in your skin near the varicose vein. A special instrument is inserted through the skin incisions to “pull out” the vein. Phlebectomy can be used for smaller or larger veins (because veins are collapsible, even larger veins can be removed through small incisions). No stitches are required, and patients rarely report experiencing pain during a phlebectomy. Following the procedure, your leg will be wrapped in a compression bandage, and you'll be asked to wear a compression stocking for a period of time. Most often, patients can return to normal activities within 24 hours, and you should follow your physician's recommendations for light exercise and/or limiting strenuous activities after your phlebectomy.