Treatments

Endovenous Laser Treatment
(EVLT)

Gold-standard minimally invasive laser therapy for varicose veins. No surgery. No stitches. Walk out the same day.

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Vein Specialist Team

Phlebologist · Reviewed May 2026

Endovenous Laser Treatment (EVLT) is a minimally invasive, gold-standard procedure used to treat varicose veins at their root cause.

Instead of removing veins surgically, EVLT uses laser energy delivered inside the faulty vein to gently seal it shut. Once closed, blood naturally reroutes to healthy veins, relieving symptoms and improving circulation.

EVLT is performed under local anesthesia. The procedure takes 30-60 minutes, and most patients walk out of the clinic the same day and return to work within 24-48 hours.

Key facts about EVLT

Procedure type

Minimally invasive, day-care

Anesthesia

Local anesthesia only

Duration

30-60 minutes per leg

Recovery

Back to work in 24-48 hours

Success rate

95%+ long-term closure

Approval

FDA-approved, globally accepted

Who needs EVLT?

EVLT is recommended when a Doppler ultrasound confirms venous reflux in the great or small saphenous vein.

  • Visible, bulging varicose veins
  • Persistent leg pain or heaviness
  • Swelling around ankles or calves
  • Night cramps or restless legs
  • Skin darkening or itching near veins
  • Non-healing venous ulcers
  • Symptoms worsen after standing

How does EVLT work?

01

Ultrasound Mapping

The doctor identifies the faulty vein and maps blood flow using Doppler ultrasound.

02

Local Anesthesia

The area is numbed — you stay awake, comfortable, and pain-free.

03

Laser Fiber Insertion

A thin laser fiber is inserted into the vein through a tiny needle puncture.

04

Laser Activation

Controlled laser energy seals the vein from inside.

05

Natural Blood Rerouting

Blood automatically flows through healthier veins.

06

Same-Day Discharge

You walk out shortly after the procedure.

Benefits of EVLT

High Success Rate

95%+ success rate in most cases

Minimal Discomfort

Minimal pain and bruising

No Surgical Scars

No large incisions or stitches required

Faster Recovery

Significantly faster than traditional surgery

Quick Return to Activity

Return to normal activity within 24-48 hours

Long-Term Relief

Provides lasting symptom relief

EVLT vs. traditional surgery

Why modern laser therapy is the preferred choice

EVLT

Traditional Surgery

Minimally invasive
Major surgical procedure
Local anesthesia
General anesthesia
No stitches
Surgical incisions
Same-day discharge
Hospital stay required
Faster recovery
Longer downtime
Lower complication risk
Higher complication risk

Recovery & safety

Recovery timeline

  • Walk immediately after procedure
  • Resume daily activity in 1-2 days
  • Wear compression stockings as advised
  • Avoid intense workouts for 2 weeks
  • Follow-up ultrasound confirms closure

Is it safe?

Yes. EVLT is FDA-approved. When performed by an experienced specialist:

  • Complications are rare
  • Infection risk is minimal
  • Long-term outcomes are excellent

Frequently asked questions