Recent advances in Venous Ultrasonography and laser surgical technology enable us to treat all varicose veins through small puncture sites that rarely require stitches and provide cosmetically acceptable results. After performing a Duplex Venous Ultrasound exam, an accurate venous map is made of the entire leg. When the precise anatomy and areas of diseased veins are identied, the treatment can be directed toward the patient's specific problem. It is this precise mapping that allows tailored treatment for every patient. Many of the varicose vein procedures in our Calgary clinic require local anaesthetic or no anaesthetic at all.