The therapy of venous ulcer comprises a variety of qualified methods applied either singly or in combination (Table 1). As many cases require catching up on necessary investigations, we recommend thorough examination before treatment in order to exclude causes other than venous ones; to reveal insufficient transfacial communications. The basic therapy consists of mobilisation and compression. According to the diagnosis, insufficient transfacial communications may be disrupted by means of surgical or sclerosing measurements. Supporting drug therapy, topically or internally may follow.