Ambulatory phlebectomy is a minimally invasive procedure used for the treatment of bulging varicose veins. This method is also known as “hook” phlebectomy. The procedure is done in our Orlando vein center. Micro-incisions are made in the leg near the varicose vein. These incisions are so small they do not require stitching. A doctor then inserts a small surgical hook into the opening and removes the varicose vein. Since a local anesthesia is used, the patient only feels a slight pulling sensation and no significant pain. After the procedure, patients may experience slight bruising and swelling, but these can be minimized with the use of compression stockings.