Depending on your severity and varicose vein classification you may require surgery. Varicose vein stripping and cutting is a much more invasive treatment with a fair bit of down time to recover. This procedure is becoming rarer but is still an option. As advances in technology and preventative measures increases less and less patients need this procedure. This procedure however would be done in hospital and would be recommended by the Surgeon in his studies of your ultrasound results.