Surgical treatment holds the chief place in treatment of varicosities of the lower extremities. Surgical treatment of varicosities of the lower extremities should be pathogenetic and based on pathophysiological findings and disorders of the venous system. The main principle of contemporary surgical treatment of varicosities is elimination of chronic venous insufficiency, elimination of the pathological venous reflux between the deep and superficial venous system and elimination of the altered insufficient superficial and connecting venous system.