Varicose veins are one of the most common diseases worldwide it constitutes a progressive disease which during its course it produces complications that usually prompt the patient to seek medical care.

Epidemiological studies of the incidence and prevalence of varicose veins found that the majority of adults would develop it over the course of their lifetime; women were found to be four times likely as men to develop it, the incidence of varicose vein occurrence increases with age.

Varicose veins are defined as tortuous dilated veins after or associated with incompetent valves.

Inclusion Criteria:

• Inclusion criteria: -. • Adult patients with primary non complicated varicose veins which match the criteria suitable for the procedure

Exclusion Criteria:

• Patients with tortuous GSV that could not allow passage of the sheath, laser fiber, non-palpable distal pulsation.
• inability to ambulate, patients with previous history of deep venous thrombosis (DVT) and pregnant women were excluded from the study.