“…For a century and even in the last decades, it has been emphasized by several authors that removal of varicose veins in patients with absent or hypoplastic deep veins is contraindicated 1–4 . This issue is based on some sad experiences, for example, amputation because of gangrene after varicectomy in a complete deep‐vein agenesia, 5,6 severe intraoperative, and postoperative venous congestion appeared after ligation of a compensatory saphenous vein 7 . According to Lindenauer's personal experiences, surgical excision of varicose veins in these cases is “deleterious and apt to enhance venous stasis.” 8 This is the reason that patients with absent deep veins are not mentioned as subjects of varicectomy; 9 every surgical study deals exclusively with patent deep‐vein cases 6,10 …”