Vein is said to be varicose when it is dilated, tortuous and elongated. It appears commonly in long standing people like police, drivers and rickshaw pullers, older people and obese. Varicose ulcer is clinical manifestation of chronic venous insufficiency. The pathogenesis starts with dysfunction of venous valves causing venous hypertension which stretches the veins resulting in ulcer formation. In modern, conservatively advise stocking, foot end elevation and Heparin medications. The lakshana of siragranthi and dushta vrana mentioned by Acharya Vaghbat and Sushrutas resembles varicose vein and venous ulcer respectively. Mainly siramokshan, shodhan and ropan are its prime treatment modalities. Surgical modelities involve saphenofemoral junction ligation and greater saphenous stripping and saphenopopliteal junction ligature and lesser saphenous stripping, sclerotheoraphy, subfascial ligation of Cockett and Dodd split skin graft, radical surgical approach and bypass surgery. So treatment modalities mentioned in classics need to be followed to avoid the surgery complications.