EVLT vs. Traditional Vein Stripping: What’s the Difference?

Doctor examines a woman's varicose veins in her upper legs Varicose veins affect up to 20% of men and 33% of women. If you’re dealing with painful, swollen varicose veins, you’ve likely come across a wide range of treatment options. Two of the best-known are endovenous laser therapy (EVLT) and traditional vein stripping—but how do they compare?

Most patients want a minimally invasive solution that offers lasting results without a long recovery. At the Center for Vein Disease in Chevy Chase, MD, that’s exactly what we provide. Led by Dr. Mehru Sonde, a board-certified vein doctor with more than 10 years of specialized experience, we treat varicose veins using the latest technology.

As respected leaders in vein disease education, we help patients make informed choices. Here’s what you should know about EVLT and vein stripping.

What Is EVLT?

EVLT is a modern, minimally invasive procedure for treating varicose veins. It uses laser energy to heat and close the affected vein, allowing your body to redirect blood flow to healthier veins. 

Benefits of EVLT

EVLT stands out in several ways, including:

  • Minimally Invasive: No large incisions  
  • High Success Rate: Over 95% of treated veins remain closed 
  • Minimal Scars: Only requires a small puncture
  • Rapid Recovery: Most patients go back to regular activities within a day  

Another big advantage of EVLT is that Dr. Sonde performs the procedure in our comfortable Chevy Chase office.

What Is Traditional Vein Stripping?

Vein stripping is an older surgical procedure that involves removing problematic veins through leg incisions. With this approach, surgeons pull the affected vein out of the body.

Vein stripping requires general or regional anesthesia. While it was the standard decades ago, modern, advancements like EVLT have largely replaced it. 

Drawbacks of Vein Stripping

Vein stripping is rare today, mainly because of its more invasive nature and higher risk of complications. Because the surgery causes more tissue trauma, it often features a painful recovery with significant swelling and bruising. Returning to regular activities typically takes around four weeks.

Which Treatment Is Right for You?

While both procedures aim to eliminate varicose veins, EVLT is the preferred choice for most patients. It offers a faster, more comfortable recovery and is just as effective — if not more — than vein stripping.

Get Expert Vein Care in Chevy Chase

At the Center for Vein Disease, we specialize in EVLT, sclerotherapyVenaseal™, and radiofrequency vein ablation to help you achieve healthier legs without unnecessary downtime. If you’re ready to say goodbye to painful varicose veins, call our office at 301-220-8346 or reach out online to schedule your consultation

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