Surgical indications in the post-phlebitic disease are supplied by an accurate physiopathologic analysis of the mentioned syndrome. Fuller research means such as: phlebography, functional explorations enable to demonstrate great pathogenic processes that could require a surgical treatment: venous obstruction can be treated thanks to a derivation treatment Palma-type. Various techniques have been proposed as for deep venous insufficiency. Surgical procedure of superficial venous insufficiency appeared as essential in operative indications. The major problem of such a procedure was the suppression of blood escape due to perforans veins insufficiency. There was no surgical treatment of postphlebitic disease, but rather surgical techniques that could be suited to particular conditions.