have been proposed and several types are currently used for tissue ablation. The types of deflector shapes are bare, sidefiring and radial. Bare fiber optic deflectors (basic deflector geometry) transmit the laser energy in the same direction along the fiber. Side-firing optical fiber optical deflectors transmit laser light perpendicular to the fiber axis through specific direction and they are widely used in many medical applications, especially in the prostate tumor ablation [1]. One of the most popular deflector types is radial design. Radial fiber optic deflectors with conically shaped optical fiber end transmit the laser energy radially and the laser energy is homogeneously distributed into a ring-shaped beam. These deflectors are especially used in endovenous laser ablation (EVLA) [2]. Unlike other cone-shaped fiber optical probes [3][4][5][6][7] used for various applications, EVLA operation needs μm-scale, multimode (MM) optical fibers and specific cone-angle values to fulfill the EVLA operation requirements. Thus, multi-mode, larger NA and μm-scale optical fibers are preferred in the operations. The homogeneous, ring-shaped laser energy distribution can be achieved with large cone angles which are detailed in this study. It allows a perfect irradiation of vein walls and their ablation. Among existent fiber processing methods such as chemical, FIB [3][4][5], mechanical polishing method is the best candidate to obtain such desired cone-angles. Furthermore, mechanical polishing process is applicable for mass-production of conical shaped optical fibers used in EVLA operation. In the mechanical polishing process, the deflector geometry is first formed with rough lapping film, then, the surface roughness of the deflector is gradually smoothed by polishing with smoother lapping films [8]. This process is composed of several steps to obtain high quality surface structures and a well-prepared fiber deflector surface eliminates the optical losses such as scattering and back reflection. However, the mechanical fining Abstract A novel method for polishing conical shaped optical fiber deflectors by modulated CO 2 laser exposure is reported. The conical shaped fiber deflector geometry was first formed with rough mechanical polishing, then it was exposed to modulated CO 2 laser operating with wavelength at 10.6 µm to achieve fine polish surfaces. The motivation of this work is to demonstrate that the modulated CO 2 laser exposure approach allows a fiber surface roughness at a nanometer scale without modifying the conical shape of the fiber deflector. The average surface roughness of mechanically polished fiber deflectors with 30 and 9 µm lapping films was smoothed down to 20.4 and 4.07 nm, respectively, after CO 2 laser polishing process. By combining mechanical and laser polishing techniques, fabrication of conical shaped optical fiber deflectors takes less time and it becomes laborer independent and easy to apply.