How do I prepare for the ligation and/or stripping?

A few days before the procedure, pre-procedure tests may be performed to ensure that it is safe to perform the procedure. You may need to discontinue certain medications before the procedure. Your healthcare team will provide specific instructions to help you prepare for the procedure.

What happens during the procedure?

You will receive a sedative and a regional anesthesia, or you may receive general anesthesia. Your surgeon will make small incisions in the groin and in the calf below the knee. The dilated vein is then either removed, tied off, or will undergo ablation through those small incisions.

How long does the procedure last?

The procedure itself generally takes two to three hours. This is typically performed in the outpatient setting, and you can anticipate returning home a few hours after the surgery. Full recovery will take one to two weeks.

What happens after the procedure?

Your surgeon will give you specific instructions you need to follow after the surgery until your incision heals adequately. Typically these will involve limiting your activity, elevating your leg whenever possible, and wearing compression hose.

Last reviewed by a Cleveland Clinic medical professional on 08/14/2019.

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