Treatment methods for addressing great saphenous venous insufficiency have evolved over the past several decades. The standard treatment technique for saphenous insufficiency for many years involved surgical ligation at the saphenofemoral junction (SFJ) and stripping of the great saphenous vein (GSV). This approach was noted to be associated with prolonged recovery time and high recurrence rates of 25% at 5 years. Endovenous ablation is now the primary mode of treatment for symptomatic insufficiency of the great saphenous vein; saphenous vein ligation and stripping are rarely performed.