Abstract:Objective:To evaluate the compositive methods of endovenous treatment with laser in the treatment of superficial varicosities in lower extremities individually. Methods:Two hundred ninty-five limbs in 285 patients with chronic venons insufficiency were studied. According to the clinical manifestations, ultrasound and venography and using the clinical-etiology-anatomy-pathophysiology(CEAP) classification of chronic venous insufficiency, the patients were grouped A,B and C. Three surgical strategies were used. Group A:Simple endovenous laser therapy(129 limbs, 43.72%). Group B: Endovenous laser therapy combined with punctate ligation(143 limbs, 48.47%). Group C: Endovenous laser therapy combined with external banding valvuloplasty of superficial femoral vein and punctate ligation(23 limbs, 7.8%). Results:The cirsoid superficial vein disappeared in all the groups. The color of the skin became lighter, and swelling was reduced. The ulcers healed or shrunk in size. Conclusions:Endovenous laser treatment(EVLT) is an effective minitraumatic operation for treatment of varicosities of lower extremities. The use of EVLT combined with other surgical procedures is effective treatment for primary deep venous valvalar insufficiency.