The procedure involves the removal of the varicose veins through multiple, 1 – 2 mm long incisions in the skin overlying the varicose veins. First, the veins are marked by indelible ink, with the patient in standing position. The patient is then positioned on the operating table and local anesthesia is injected around the varicose veins. Skin incisions are made using a pointed surgical blade. Thereafter, a phlebectomy hook is inserted through the incision in order to capture the varicose vein. The vein is then pulled out, grasped with a clamp and gradually pulled out of the body. Depending on the length of varicose vein that has been removed, the next incision is made 2 to 10 cm further along the pre-operative markings.