Varicose veins are not just a cosmetic concern—they can cause pain, swelling, and complications if left untreated. While many people explore noninvasive options first, there are cases when a varicose veins operation becomes the most effective solution.
In this article, we’ll help you understand when surgery is necessary, what surgical options are available in Singapore, and how to decide between surgical and non-surgical treatments. If you’ve been told you need treatment or are still weighing your options, this guide is for you.
Understanding Varicose Veins
Varicose veins are enlarged, twisted veins—most commonly in the legs—caused by weakened or faulty valves that allow blood to pool rather than flow properly back to the heart.
Common symptoms include:
- Leg heaviness or aching
- Visible bulging veins
- Swelling (especially around the ankles)
- Skin discoloration
- Itching or burning
- Ulcers in severe cases
Non Surgical Varicose Vein Treatments
Before recommending surgery, many doctors begin with conservative or minimally invasive treatments:
🔹 Compression Stockings
Help improve blood flow by squeezing the legs, reducing swelling and discomfort.
🔹 Lifestyle Changes
Exercise, weight management, and elevating the legs can alleviate symptoms.
A solution is injected into the vein to close it. Best for small varicose or spider veins.
🔹 Endovenous Thermal Ablation
Using radiofrequency (RFA) or laser (EVLT) energy, this method seals off the damaged vein with minimal downtime.
🔹 VenaSeal™ and ClariVein®
These are advanced non-thermal techniques that seal the vein without the need for heat, reducing the risk of nerve injury.
When Is a Varicose Vein Operation Necessary?
While non-invasive methods work for many, some patients will need surgery for more severe or persistent cases.
Consider surgery if:
- Symptoms persist despite conservative treatments
- You have large, bulging veins that are too twisted for ablation.
- There are venous ulcers or skin changes due to poor circulation.
- You experience frequent bleeding from varicose veins.
- There is deep vein involvement or suspected venous reflux.
- You are at risk of blood clots or thrombophlebitis.
A vascular surgeon will typically perform a duplex ultrasound to assess the severity and function of your veins before recommending surgery.
Surgical Options for Varicose Veins in Singapore
If you require an operation, here are the most common options available:
- High Ligation and Vein Stripping
- Involves tying off and removing the affected vein.
- Performed under general or spinal anesthesia.
- Recovery: 2–4 weeks
- Best for large veins that can’t be treated with ablation.
- Ambulatory Phlebectomy
- Small incisions are made to remove varicose veins close to the skin’s surface.
- Often done alongside ablation.
- Minimal downtime.
- Endovenous Surgery (Hybrid Techniques)
- Combines minimally invasive ablation with surgical removal of large surface veins.
- Offers a more comprehensive solution.
Surgical vs. Non-Surgical: What’s Right for You?
| Criteria | Non-Surgical Treatment | Surgical Treatment |
| Severity | Mild to moderate | Moderate to severe |
| Recovery Time | 1–7 days | 2–4 weeks |
| Effectiveness | 70–90% success | 90–95% success |
| Cost | Lower | Higher (but may be covered by insurance) |
| Invasiveness | Minimal | Moderate |
| Insurance Coverage | Often covered if medically necessary | Covered for severe cases, especially under Integrated Shield Plans |
If you have a comprehensive Integrated Shield Plan (like NTUC IncomeShield or Prudential), choosing a panel vascular surgeon may reduce out-of-pocket expenses for both surgical and non-surgical options.
Finding a Vascular Surgeon for Varicose Veins Operation in Singapore
When surgery is recommended, choose a board-certified vascular surgeon with experience in both open and endovascular techniques. Look for:
- Proven expertise in varicose vein management
- MOH accreditation and good patient reviews
- A clinic that assists with pre-authorization and Letter of Guarantee (LOG) for insurance claims
One such expert is
👉 Dr. Darryl Lim – Vascular and Varicose Vein Specialist in Singapore. He offers a full range of varicose vein treatments—from RFA and VenaSeal to surgery—tailored to your condition and comfort.
Cost of Varicose Vein Surgery in Singapore
Here’s a rough estimate for surgical treatment (before insurance):
| Procedure | Cost Range |
| Vein Stripping | $5,000 – $8,000 SGD |
| Phlebectomy | $3,000 – $6,000 SGD |
| Endovenous Hybrid Surgery | $6,000 – $10,000 SGD |
Consult your insurer and specialist to determine your eligible claims under your policy.
Conclusion
Surgery isn’t always the first step in treating varicose veins, but it may be the most effective solution for advanced or persistent cases. If you’ve tried non-surgical methods without success, or your symptoms are affecting your quality of life, a varicose veins operation in Singapore could offer lasting relief.
Discuss your options with a qualified vascular surgeon to ensure the best approach for your condition, lifestyle, and goals. Early intervention leads to better outcomes—don’t wait until the problem worsens.