The short answer: Not as bad as you’d think.
Most modern varicose vein treatments are minimally invasive and done under light general anaesthesia or local anaesthesia with sedation. This keeps you relaxed and comfortable throughout the procedure. While there might be some mild discomfort during recovery, the pain level is generally low- more like soreness or bruising than anything sharp or severe.
Understanding Varicose Vein Surgery (And What It Actually Involves)
The term “surgery” might sound dramatic, but in most cases, treatment for varicose veins isn’t the old-school vein stripping you might imagine. Today’s commonly used procedures include:
- Radiofrequency Ablation (RFA) – A small catheter is inserted into the affected vein, and heat is used to seal it shut.
- Sclerotherapy – A solution is injected into smaller varicose or spider veins, causing them to close off and fade.
- Phlebectomy – Tiny incisions are made to remove surface veins. It’s a straightforward procedure with minimal scarring.
These are typically day surgeries, though in some cases, you might stay overnight for monitoring before going home the next morning.
So… Is Varicose Vein Surgery Painful?
Let’s talk about what it actually feels like.
During the procedure:
- You’ll either be lightly sedated or under a gentle general anaesthetic, depending on your medical history and the type of procedure.
- You’ll be comfortable and relaxed, and most patients don’t remember much about the procedure itself.
- If sedation is used, you might feel pressure or movement, but not pain.
After the procedure:
- Some mild soreness, tightness, or bruising around the treated vein is common.
- Most people describe the discomfort as a 2–3 out of 10 — usually manageable with over-the-counter pain relief.
- Many patients are surprised by how mild the recovery feels, especially compared to the heaviness or aching they had before treatment.
What’s Recovery Like?
Recovery tends to be smooth for most patients. Depending on your specific case and how your body responds, you may be able to go home the same day, or stay overnight for observation and head home the next morning.
- You’ll likely be advised to wear compression stockings for a short period — they help reduce swelling and support healing.
- Light walking is encouraged the day after surgery.
- Many people are back at work within a few days, especially if their job isn’t physically demanding.
More strenuous activity- like running, heavy lifting, or high-impact workouts- should be paused for about 1–2 weeks unless advised otherwise.
Tips for Managing Post-Surgery Discomfort
Here are a few simple ways to stay comfortable while your legs heal:
- Keep moving: Gentle walking helps with circulation and reduces stiffness — just avoid standing still for long stretches.
- Wear your compression stockings: They might not be the most stylish, but they really do make a difference with swelling and healing.
- Elevate your legs: Especially in the first few days, propping your legs up on a pillow can help reduce pressure and soreness.
- Use ice packs (if advised): A cold pack on the treated area for 10–15 minutes at a time can ease any swelling or bruising.
- Stay ahead of the pain: Take the prescribed post-op meds from your surgeon. If your doctor recommends pain relief, take it before the discomfort builds up- not after.
Everyone heals a bit differently, but these small things can help you feel better, faster.
When Should You Be Concerned?
If pain worsens instead of improving, or you notice increasing swelling, redness, or warmth in the leg, it’s best to get checked. While complications like superficial clots are rare, early attention makes all the difference.
Final Thoughts
If you’ve been putting off varicose vein surgery because you’re worried it’ll be painful- you’re not alone. But the truth is, the pain level is usually low, and the recovery is manageable. With modern techniques and gentle anaesthesia or sedation, treatment has become more comfortable than ever- and the long-term relief is well worth it.
FAQ
How painful is varicose vein surgery on a scale of 1 to 10?
Most people rate the pain as around 2–3 out of 10- more of a dull ache or tightness than anything sharp.
How long does pain last after varicose vein treatment?
Any soreness usually settles within a few days to a week. It’s often mild enough that you can manage with simple painkillers- or none at all.
Can I go home the same day after varicose vein surgery?
Yes, many patients go home the same day, while others might stay overnight for observation and go home the next morning.
