Surgical Ligation and StrippingThe most commonly performed procedure for varicose veins in Ireland involves tying the vein shut through a groin incision or ‘high tie’ and stripping of the vein in the thigh. A similar procedure is sometimes performed behind the knee. This surgery is performed under anesthesia and usually as a day surgery or overnight admission. The superficial veins are usually removed at the same time. Removing the veins does not affect the circulation as the blood is routed through deeper healthy veins.Recovery to full mobility is usually longer than EndoVenous Laser Ablation technique. Serious side effects or complications with this surgery are uncommon. Groin wounds can be slow to heal and cause discomfort for mobilisation. Bleeding and bruising in the thigh can be a problem, but the collected blood usually settles on its own and does not require any further treatment. Wound infection, inflammation and leg swelling can occur, especially if it is a repeat groin surgery procedure. A common complication is the damage of nerve around the treated vein causing numbness in the lower leg that usually resolves in a few months.