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What are varicose veins? Varicose veins in legs An example of varicose veins in the leg. Varicose veins are large, swollen veins that often appear on the legs and feet. They happen when the valves in the veins do not work properly, so the blood does not flow effectively. The veins rarely need treatment for health reasons, but if swelling, aching, and painful legs result, and if there is considerable discomfort, treatment is available. There are various options, including some home remedies. In severe cases, a varicose vein may rupture, or develop into varicose ulcers on the skin. These will require treatment. Treatment If the patient has no symptoms or discomfort and is not bothered by the sight of the varicose veins, treatment might not be necessary. However, if there are symptoms, treatment may be required to reduce pain or discomfort, address complications, such as leg ulcers, skin discoloration, or swelling. Some patients may also want treatment for cosmetic reasons - they want to get rid of the "ugly" varicose veins. Surgery If varicose veins are large, they may need to be removed surgically. This is usually done under general anesthetic. In most cases, the patient can go home the same day - if surgery is required on both legs, they may need to spend one night in hospital. Laser treatments are often used to close off smaller veins, and also spider veins. Strong bursts of light are applied to the vein, which gradually fades and disappears.