Office varicose vein surgery under local anesthesia.

Varicose veins of any size (except telangiectasia) and in any site of the lower limb (except the saphenofemoral junction) can be avulsed through multiple 0.5-mm (or larger) incisions under local infiltration anesthesia (Müller's technique). When necessary, high ligation, division, and stripping of the proximal long saphenous vein can also be performed under local anesthesia. It is thus possible to treat even the most complex varicose cases with outpatient office-based surgery.