Lower-extremity varicose veins are a very prevalent problem in the United States and represent a common referral for treatment. Therapeutic options for patients with lower-extremity superficial venous insufficiency have expanded in recent years, thanks to technological advances. Correction of both primary and secondary varicose veins can now be accomplished with endovenous and other minimally invasive techniques that allow for increased periprocedural patient comfort, as well as allowing more-rapid resumption of work or leisure activities with lower complication profiles. This article describes the first author's preferences and practice incorporating newer techniques for treatment of superficial venous reflux and varicose veins in an outpatient venous practice.