What Are the Best Varicose Vein Treatment Options in Ontario?

Varicose veins are enlarged, twisted superficial veins that most often appear on the legs and can cause aching, heaviness, swelling and skin changes that limit comfort and mobility. This guide walks through how varicose veins are diagnosed in Ontario, the minimally invasive treatments commonly used (including endovenous laser therapy, radiofrequency ablation, sclerotherapy, VenaSeal and microphlebectomy), and how to assess cost and OHIP coverage. You’ll learn what to expect from a venous duplex ultrasound, how each procedure works, typical recovery timelines, and the criteria that affect OHIP eligibility.

Ontario Vascular, based in North York, Toronto, offers consultations for symptomatic varicose disease and provides many of these minimally invasive options under the care of board-certified vascular surgeon Dr. Luis Figueroa. The article follows the patient journey from symptoms to diagnosis, compares procedures side-by-side, answers common coverage questions, and finishes with practical criteria to help you choose the right specialist and treatment.

What Are Varicose Veins and How Are They Diagnosed in Ontario?

Varicose veins occur when superficial vein valves fail, allowing blood to flow backward (reflux), increasing venous pressure and causing visible bulging. Valve insufficiency produces common symptoms—aching, heaviness, swelling and skin discoloration—that can reduce daily activity and quality of life. In Ontario, diagnosis usually starts with a focused medical history and physical exam to document symptoms and surface vein patterns, followed by a venous duplex ultrasound to map reflux and vein anatomy. Knowing this diagnostic pathway helps determine the most appropriate treatment and whether care is medically necessary or primarily cosmetic.

Which Minimally Invasive Varicose Vein Treatments Are Available in Ontario?

Ontario offers several minimally invasive treatments that close or remove incompetent veins to relieve symptoms and reduce complications. These include endovenous laser therapy (EVLT), radiofrequency ablation (RFA), ultrasound-guided sclerotherapy (liquid and foam), the VenaSeal adhesive system, and ambulatory microphlebectomy. Each method uses targeted energy, a chemical agent or small incisions under local anesthesia to address refluxing veins, with a focus on symptom relief, minimal downtime and outpatient recovery. Many vascular practices in the GTA provide these options; Ontario Vascular offers consultations and performs several of these procedures under Dr. Luis Figueroa. Below are concise descriptions and a comparison to help you weigh invasiveness, recovery and suitability.

Treatment	Procedure Type	Typical Recovery	Suitability	Typical Risks
Endovenous Laser Therapy (EVLT)	Thermal ablation via laser fibre under ultrasound	Days to 1–2 weeks of activity modification	Well-suited for saphenous vein reflux and longer incompetent veins	Bruising, transient numbness, phlebitis
Radiofrequency Ablation (RFA)	Thermal ablation via radiofrequency catheter	Days to 1–2 weeks with rapid return to light activity	Alternative to EVLT for axial reflux with similar outcomes	Skin warmth, paresthesia, rare DVT
Sclerotherapy (liquid/foam, ultrasound-guided)	Chemical irritation of the vein wall causes collapse	A few days; compression for 1–3 weeks is often recommended	Ideal for small varicose and spider veins; foam is used for larger segments	Hyperpigmentation, matting, thrombophlebitis
VenaSeal (Glue Ablation)	Medical adhesive to close the vein	Minimal anesthesia; quick return to activity	Useful when tumescent anesthesia is not preferred or contraindicated	Allergic reaction to adhesive (rare), phlebitis
Microphlebectomy	Ambulatory phlebectomy with small incisions	1–2 weeks; local wound care and compression	Best for large, surface varicosities not treatable by ablation alone	Scarring, wound drainage, hematoma

This comparison highlights trade-offs between invasiveness and recovery and helps match a treatment to your anatomy, symptoms and personal preferences.

The next sections describe each treatment in practical detail.

How Does Radiofrequency Ablation Treat Varicose Veins?

Radiofrequency Ablation (RFA) delivers controlled thermal energy through a catheter to heat and collapse the vein wall, promoting fibrotic closure. Like EVLT, RFA is performed under ultrasound guidance with tumescent local anesthesia and is well-suited for axial reflux in the great or small saphenous veins. Comparative studies show similar efficacy and symptom relief between RFA and EVLT. Recovery is usually rapid—patients walk immediately and return to routine activities within a few days—while risks mirror other thermal techniques, such as localized bruising or temporary nerve irritation. Choice between EVLT and RFA depends on vein anatomy, clinician experience and device availability.

What Are Sclerotherapy Options for Varicose and Spider Veins?

Sclerotherapy injects a sclerosant—either liquid or foam—into small varicose or spider veins to irritate the lining, causing the vein to collapse and be reabsorbed over weeks to months. Liquid sclerotherapy treats fine superficial veins, while ultrasound-guided foam reaches larger or deeper segments under imaging to improve contact with the vessel wall. Several sessions may be needed for cosmetic goals or clustered veins; aftercare typically includes compression stockings and regular walking to lower thrombosis risk. Expected complications include localized pigmentation, matting and transient inflammation, so careful patient selection is important for optimal outcomes.

Research has examined risk factors for deep venous occlusion following ultrasound-guided sclerotherapy.

Ultrasound-Guided Sclerotherapy for Varicose Veins: Risk Factors for Deep Venous Occlusion This study evaluates patient, vein and technique-related factors that may increase the risk of deep venous occlusion after ultrasound-guided sclerotherapy. Outcome of ultrasound-guided sclerotherapy for varicose veins: medium-term results assessed by ultrasound surveillance, 2007

How Does the VenaSeal Closure System Work for Vein Treatment?

The VenaSeal Closure System applies a medical adhesive to glue the walls of an incompetent vein together, sealing it without thermal injury and often reducing the need for tumescent anesthesia. Under ultrasound guidance, small amounts of adhesive are placed along the segment, and gentle compression helps secure closure. The technique appeals to patients who want to avoid heat-based ablation or extensive local anesthesia. Recovery is typically quick and discomfort minimal, although adhesive-specific risks—such as rare allergic reactions or localized phlebitis—should be discussed. VenaSeal broadens the options for treating axial reflux when thermal or chemical approaches are less suitable.

The VenaSeal system has established a safety and efficacy record in varicose vein treatment.

VenaSeal System for Varicose Vein Treatment: Safety and Efficacy The VenaSeal device is a safe and effective method for endovenous cyanoacrylate adhesive closure of incompetent saphenous trunks in patients with varicose veins. Expert review on the VenaSeal® system for endovenous cyano-acrylate adhesive ablation of incompetent saphenous trunks in patients with varicose veins, J Lawson, 2017

Additional reviews support VenaSeal’s role in lower-limb varicose vein surgery.

VenaSeal System for Lower Limb Varicose Vein Surgery: Safety and Efficacy Analysis This analysis reviews safety and effectiveness data for the VenaSeal system in lower limb varicose vein procedures. … and Efficiency of Treating Symptomatic Varicose Veins with Endovenous Closure of Great, Small, and Anterior Accessory Veins Using Cyanoacrylate Glue (VenaSeal …, 2025

What Is Microphlebectomy and When Is It Recommended?

Microphlebectomy, or ambulatory phlebectomy, removes large surface varicosities through tiny incisions using specialized hooks and forceps, immediately extracting bulging veins. It’s especially useful for discrete, tortuous surface veins that are symptomatic or cosmetically troublesome and often complements axial ablation—first treat the refluxing source, then remove residual tributaries. Recovery involves wound care for small puncture sites, short activity modification and compression for several days to weeks, with rapid symptom relief and durable cosmetic results. Risks include scarring, hematoma and transient numbness, but microphlebectomy remains a valuable option within a comprehensive vein program.

How Much Does Varicose Vein Treatment Cost in Ontario, and Is It Covered by OHIP?

Costs in Ontario depend on disease extent, the procedures chosen, facility fees and whether treatment is judged medically necessary under OHIP. OHIP generally covers consultations and interventions for symptomatic reflux that causes pain, swelling, skin changes or venous ulcers; purely cosmetic procedures are typically not covered. Out-of-pocket costs vary when treatment is cosmetic or when multiple sessions are needed; Ontario Vascular offers OHIP-covered consultations for symptomatic disease and can help with documentation to support coverage. The table below illustrates common coverage scenarios to help with financial planning.

Procedure	OHIP Coverage (typical)	Typical Cost Range if Not Covered	Notes on Sessions
EVLT / EVLA	Often covered when medically necessary	$1,000–$2,500 per treated leg (varies)	Usually a single session per axial vein
RFA	Often covered when medically necessary	$1,000–$2,500 per treated leg (varies)	Similar to EVLT in sessions
Sclerotherapy	Cosmetic spider veins are usually not covered	$150–$500 per session; multiple sessions possible	Foam for larger veins may cost more
VenaSeal	Coverage varies; often out-of-pocket if cosmetic	$1,500–$3,000 per leg (approximate)	Single-session adhesive closure is common
Microphlebectomy	Often covered if linked to symptomatic disease	$500–$1,500 per procedure if cosmetic	May be combined with ablation

What Factors Influence the Cost of Varicose Vein Treatments?

Costs are driven by the number of legs and veins treated, procedure type (thermal ablation, sclerotherapy, adhesive closure or microphlebectomy), anesthesia needs and the treatment setting (clinic versus hospital). Complexity—such as recurrent disease or combined deep and superficial system involvement—usually increases procedure time and resources, and follow-up sessions for cosmetic goals add to the total cost. Ask for an itemized estimate that separates professional fees, facility charges and follow-up care so you can compare options clearly. Knowing these drivers helps weigh clinical benefit against financial considerations.

Which Varicose Vein Treatments Are Covered by OHIP in Ontario?

OHIP typically covers treatments considered medically necessary for symptomatic venous disease—procedures that address pain, recurrent swelling, skin changes or venous ulcers caused by reflux. Coverage decisions depend on documented clinical symptoms and diagnostic evidence, especially venous duplex ultrasound showing significant reflux. Cosmetic-only treatments, like therapy for spider veins without symptoms, are usually not funded. If you’re seeking OHIP-covered care, confirm documentation and referral steps with your specialist and clinic before booking.

Are Cosmetic Varicose Vein Procedures Covered by OHIP?

Generally no. Cosmetic varicose vein procedures aren’t routinely covered by OHIP because they don’t treat medically necessary symptoms or complications. Examples include treatment solely for spider veins or minor bulging veins without pain, swelling or skin changes. When the primary goal is cosmetic improvement, patients typically pay out of pocket, so request transparent cost estimates and discuss how many sessions are likely. Many clinics offer financing or phased treatment plans to spread costs for patients, prioritizing aesthetic results while ensuring medically necessary care is addressed first.

What Financing Options Are Available for Non-OHIP Covered Treatments?

For cosmetic or elective treatments not covered by OHIP, patients often use personal savings, credit cards, medical lines of credit or payment plans offered by clinics; options vary by provider and should be discussed before booking. When considering financing, ask about total costs, interest rates and whether treatments can be staged to spread fees across visits. Ontario Vascular’s administrative team can explain available options and provide detailed cost estimates to support budgeting and decision-making. A clear financial conversation ensures chosen treatments align with both medical need and your budget.

How to Choose the Right Varicose Vein Treatment and Specialist in Ontario?

Choosing the right treatment and specialist means matching clinical findings and personal goals with each procedure’s strengths and the clinician’s experience. Look for a vascular surgeon or vein specialist who uses venous duplex ultrasound for diagnosis, explains options such as EVLT, RFA, sclerotherapy and microphlebectomy, and sets realistic expectations for outcomes and recovery. Consider credentials, hospital affiliations and whether consultations for symptomatic disease are OHIP-covered; Ontario Vascular lists affiliations including Humber River Hospital and North Toronto Surgical and provides bilingual care in English and Spanish under Dr. Luis Figueroa.

Use the checklist below to guide your consultation and ensure the recommended plan fits your anatomy, symptoms and lifestyle.

1. Request a diagnostic venous duplex ultrasound and a clear explanation of the findings.

2. Confirm the specialist’s experience with the procedures being recommended.

3. Check whether the consultation and recommended procedures meet OHIP criteria for coverage.

4. Discuss expected recovery time, likely number of sessions and long-term follow-up plans.

5. Ask for a written estimate that separates professional fees, facility charges and follow-up costs.

This checklist helps you compare providers and ensures clinical decisions are evidence-based and tailored to you.

Why Choose Dr. Luis Figueroa and Ontario Vascular for Your Treatment?

Dr. Luis Figueroa is a board-certified vascular surgeon affiliated with Humber River Hospital and North Toronto Surgical, experienced in vascular disease and minimally invasive vein procedures. Ontario Vascular serves North York, Toronto, offering OHIP-covered consultations for symptomatic varicose disease and bilingual care (English/Spanish) for patient convenience.

The practice emphasizes minimally invasive options—EVLT, RFA, sclerotherapy, VenaSeal and microphlebectomy—delivered in a patient-centred model focused on symptom relief and safe recovery. If you want vascular surgeon-led care with access to advanced minimally invasive techniques, Ontario Vascular and Dr. Figueroa provide coordinated, specialist-led treatment.

What Are Common Questions About Varicose Vein Treatment in Ontario?

Patients often ask about procedure length, expected symptom relief and whether treatment improves quality of life. Short, clear answers help set expectations and plan logistics. Typical procedure times range from 30 to 90 minutes, depending on the method and number of veins treated, and same-day discharge is standard for minimally invasive options. Most patients experience meaningful symptom improvement and better mobility when reflux sources are correctly identified and treated. The brief Q&A below addresses common concerns and encourages individualized consultation for tailored recommendations.

How Long Does Varicose Vein Treatment Take?

Most in‑office varicose vein procedures last 30–90 minutes, including preparation and post-procedure instructions, although combined or multi-site treatments may take longer. Thermal ablations (EVLT, RFA) typically take 30–60 minutes for a single axial vein; sclerotherapy sessions can be shorter but may need repetition for best cosmetic results. Expect a short recovery window in-clinic and plan for same-day return home with light activities recommended. Check with your clinic about appointment length when scheduling so you can arrange transportation and time off.

Can Varicose Vein Treatment Improve Quality of Life?

Yes. Treating symptomatic varicose veins often reduces pain, heaviness and swelling, improving mobility, sleep and daily function and lowering ulcer risk in advanced cases. Many patients report both symptomatic and cosmetic benefits that increase confidence and activity levels. Clinical outcomes include reduced leg ulcer recurrence when reflux is effectively managed. Individual results depend on disease severity, treatment choice and adherence to aftercare, so a diagnostic ultrasound and specialist consultation are important to set realistic expectations and maximize quality-of-life gains. If symptoms interfere with daily life or sleep, discussing options with a vascular specialist is a sensible next step.

How can I tell if my varicose veins require treatment?

Treatment is usually indicated when varicose veins cause significant discomfort, recurrent swelling, skin changes, ulcers or bleeding. Symptoms such as persistent aching, heaviness or cramping—especially after standing—suggest that intervention may be helpful. A vascular consultation with a physical exam and venous duplex ultrasound will clarify severity and guide treatment. If symptoms interfere with daily activities or quality of life, it’s reasonable to seek assessment.

What should I expect during a varicose vein consultation?

Expect a focused review of your medical history and symptoms, followed by a leg exam to assess visible vein patterns and any skin changes. The specialist will often order a venous duplex ultrasound to evaluate blood flow and identify reflux. After reviewing results, the doctor will explain treatment options, likely benefits, risks and recovery timelines. This is a good time to ask about OHIP coverage, costs, and the number of sessions you may need.

Are there any long-term effects after varicose vein treatment?

Most patients have lasting symptom relief and improved leg appearance, but new varicose veins can develop over time since the underlying tendency may be progressive. Long-term benefits include better mobility and a reduced risk of ulceration when reflux is treated. Regular follow-up with your vascular specialist can detect and address new issues early. Maintaining healthy habits also supports durable results.

What are the signs of complications after varicose vein treatment?

Monitor for increasing pain, swelling, redness, fever, unusual wound drainage or persistent numbness—these warrant prompt contact with your clinic. Rare but serious complications include deep vein thrombosis (DVT) or allergic reactions to treatment materials. Following aftercare advice and attending scheduled follow-ups helps catch problems early and keeps recovery on track.

Conclusion

Knowing the available varicose vein treatments in Ontario helps you make informed decisions about symptom relief and long-term leg health. Each minimally invasive option has distinct advantages—whether your priority is symptom control, quick recovery or cosmetic improvement. A consultation with a qualified vascular specialist like Dr. Luis Figueroa at Ontario Vascular will provide personalized guidance based on your ultrasound findings and goals. If varicose veins affect your comfort or daily life, schedule a consultation to explore the best path forward.