Abstract
The main target of treatment for primary varicose vein is the interruption of saphenous vein reflux. Currently, endovenous ablation is the first choice of saphenous vein interruption as it is less invasive than surgical ligation and striping, although surgical procedures were popular previously. Duplex ultrasound examination is essential for the procedure of endovenous ablation from pre to post operation. Learning how to perform a duplex ultrasound examination is the key to successfully performing endovenous ablation in addition to understanding the pathophysiology of varicose veins.