Summary:Since the end of the nineties endovenous thermal ablation and more recently non-thermal, non-tumescent techniques have been developed and improved. Until now, because of their favourable side effect profi le in conjunction to sustained effi cacy, in many countries they already replaced high ligation and stripping in the treatment of refl uxing saphenous veins as well as for treatment of perforators and selected tributaries. Now, studies and comparative trials are available with long-term follow-ups for most of the techniques, providing valid data on occlusion and refl ux rates, side effect profi les, and health related quality of life.