Modified Ambulatory Phlebectomy is the physical removal of visible varicose veins under local anaesthetic using a modified procedure where the veins to be removed are firstly injected with sclerosant foam. This makes the once visible vein contract and renders them empty of blood which can then be removed via a series of tiny skin punctures (usually 1mm which results in virtually no scarring). The procedure sounds awful but with the introduction of new ways of applying local anaesthetic the procedure is virtually painless with quick recovery and minimal discomfort. Most patients are able to return to normal activities immediately with restriction only to heavy physical activity for about a week.