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Microphlebectomy, also known as Ambulatory Phlebectomy, is a minor surgical procedure that can be used to eliminate larger varicose veins. This procedure is performed in the office using only local anesthetic. The veins are removed through tiny skin nicks and can be done at the same time as EVLT (endovenous laser treatment). No stitches are necessary, the scars are barely visible and patients are extremely satisfied with the aesthetic outcomes. The procedure takes about 1 hour and patients are instructed to immediately walk and resume most of their usual activities.