A BS T R A C T BACKGROUNDVaricose veins, though a common condition, many a times remains asymptomatic. During its course, the disease produces complications which usually make the patient to seek medical care. METHODSThis is a prospective study where 100 patients with varicose veins admitted in Department of General Surgery, SVRRGGH Tirupati, were evaluated. A thorough history was obtained, detailed clinical examination was done, and clinical tests were applied; patients were subjected to duplex USG to confirm the diagnosis. Routine investigations were done, and patients underwent treatment based on clinical and investigational profile. The post-operative course, follow-up was noted. The final outcome was evaluated by the information that was taken down in the proforma designed for the study. RESULTSMajority of the patients were in the middle age group and incidence is more in males. Great saphenous system involvement is more common, and the operative procedure performed commonly is SFJ flush ligation with stripping of LSV with incompetent perforator ligation. CONCLUSIONSMajority of the patients presented with combined perforator and SF incompetence. Surgical treatment with flush ligation and stripping of LSV appears to be best option for lower limb varicose veins with LSV truncal involvement.