Abstract:Objective:To evaluate the effect of subfascial endoscopic perforator surgery (SEPS) for the treatment of recurrent venous ulcer. Methods:SEPS Was preformed on 56 limbs with recurrent venous ulcer, and ulcer healing was assessed at follow up. Results:Fifty-five limb ulcers healed in 10～49 days,one limb ulcer was not healed after 90 days, but healed after ligation of lesser saphenous vein. The patients were followed up for 1 to 3 years, 1 case recurred after 6 months and it healed with antibiotic treatment; 2 cases recurred after 18 months, and both healed after high ligation of lesser saphenous vein. Conclusions:SEPS is effective and safe in the treatment of recurrent venous ulcer. SEPS is minitraumatic with few complications.