Microphlebectomy (also called ambulatory phlebectomy) is a procedure to remove varicose veins at or near the skin surface. Through tiny incisions (2- 3mm) surface veins are carefully dissected and removed. It should not be confused with ‘vein stripping’ which is done with general anesthesia in the operating room. Microphlebectomy is performed in the office, uses only local anesthesia, and is often done in combination with the ablation procedure (see above). The incisions are so small that no stitches are needed and after healing the scars are nearly imperceptible.