Endovenous laser ablation (EVLA) is the latest treatment for varicose veins.  It uses a laser fibre inside the abnormal varicose vein to cauterise and close the vein down instead of stripping the vein out surgically.  Endovenous laser treatment is performed under local anaesthetic only so you don't need a general anaesthetic to treat your varicose veins and you can return to work the same day.