Microphlebectomy is an alternative to foam sclerotherapy or surgery for the treatment of branching and superficial varicose veins. It involves using a scalpel to make tiny incisions along the legs to remove the veins.  This is performed with a local anesthesia that is used to numb the skin of the leg.   This is significantly different than vein stripping surgery, as it does not require general anesthesia and the actual incisions are smaller than a grain of rice and do not require stitches. This procedure may take 1 to 2 hours, depending on the extent of the individual’s varicose veins.  Return to normal activities after the procedure is possible. Compression stockings are required after treatment.