This entails removing the greater saphenous vein from the knee to the groin. Several incisions are required in order to pass a slim rod up the vein and pull the vein out through the skin. It requires a general anesthetic at a hospital, roughly one-week recovery time and three weeks of compression stockings. Most patients have considerable bruising. There are also some major but infrequent complications.

Advantages:
• can be covered by OHIP if certain criteria are met
• time tested and effective

Disadvantages:
• invasive
• requires general anesthetic
• recovery time of 2 weeks
• higher rate of complications when compared to EVLT (blood clots, damage to deep veins, and numbness)
• requires longer use of compression stockings (3 weeks)



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