Varicose veins involve swollen, twisted, and often painful veins, due to dysfunctional valves, allowing blood to collect abnormally in the vein. The disease has significant prevalence in the general population. Up to 55% of women and 45% of men suffer from venous disease. Of these up to 25% of women and 15% of men will have visible varicose veins. Surgical treatment methods include open surgery, stripping, and minimally invasive techniques. Endovenous Laser Ablation (ELA) provides the optimal tool for vein treatment in a minimally invasive method with reduced complication rates and high efficacy. Major studies have demonstrated speedier recovery and fewer complications using minimally invasive treatment techniques. The recent introduction of 1470 nm energy, with higher absorption in water, and as a result, less collateral thermal damage has improved the technique further, enabling safe, rapid, and precise use of energy to coagulate the vessel with minimal impact on neighboring structures.