In diagnosing and treating peripheral vascular diseases, venous diseases encompass a large proportion, accounting for more than 60% of the outpatient volume. According to the statistics, the prevalence of venous diseases of lower limbs in China is 8.89%, and varicose veins alone affect hundreds of millions of patients. In recent years, significant advances have been made in the diagnosis and treatment methods, concepts, auxiliary equipment, consumable materials, technology, and basic research of vascular diseases, particularly the breakthroughs in the diagnosis and treatment of venous diseases such as varicose of great saphenous vein, deep vein thrombosis, iliac vein compression syndrome and pelvic congestion syndrome, highlighting the development and progress of modern venous surgery. Here, the authors summarize the progress and concerns relevant to venous surgery.