Endovenous laser treatment (EVLT) is a minimally invasive procedure that uses laser energy to eliminate unhealthy veins. During the EVLT procedure, the vein doctor inserts a specialized laser fiber into the diseased vein under ultrasound guidance. Once the laser fiber is lodged in place, it generates laser energy to destroy the diseased vein responsible for your vein problems, thus rerouting the accumulated blood into healthier leg veins. EVLT treats varicose veins and chronic venous insufficiency, the root cause of most vein problems.

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What to expect during the procedure?

Endovenous laser treatment is a safe, in-office procedure performed on an outpatient basis. It’s an extremely safe procedure that concludes within 30 minutes and allows you to resume your daily activities and work without downtime.

The vein doctor administers local anesthesia and makes a small incision on the skin’s surface. The incision is an entry point for a specialized catheter with a laser fiber, which is driven into the diseased saphenous vein under ultrasound guidance.

Once the laser fiber is lodged in place, the vein doctor activates it to generate laser energy. The laser energy irritates the diseased vein’s walls and makes it collapse. The accumulated blood gradually reroutes into healthier leg veins.

The complete EVLT procedure concludes within 30 minutes, and there’s no downtime. You can resume your daily activities and work immediately — no professional or social downtime. However, you should avoid strenuous workouts and heavy lifting.

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Endovenous laser ablation is an extremely safe procedure with a negligible risk of complications. It effectively treats chronic venous insufficiency, the root cause of most vein problems, including spider veins and varicose veins, thus minimizing the risk of recurrence.

Endovenous laser ablation is covered by most insurance plans. It’s a medically necessary procedure that’s covered by most insurance providers, so you can rest assured that your treatment will be financially accessible.


Endovenous laser ablation can be performed using numerous techniques and devices. You must find vein doctors who use cutting-edge technologies to ensure a comfortable experience without harsh side effects or complications.

Endovenous laser ablation involves surrounding the damaged vein with tumescent anesthesia, which may lead to post-treatment swelling. In an inexperienced vein doctor’s hands, tumescent anesthesia may also cause considerable pain.