An ambulatory phlebectomy is typically performed in the doctor’s office using local anesthesia. A local anesthetic fluid is injected into the area of the varicose vein clusters to be treated. A small scalpel or needle is used to puncture the skin next to the varicose vein, and a small hook, designed by and named after Dr. Kabnick, is inserted into the hole, to grasp and then remove the vein. The area is covered with a compression bandage and/or compression stockings, and the patient is able to walk immediately following the procedure. Ambulatory phlebectomy is often performed following the VenaCure EVLT™ or VNUS Closure™ procedures to remove any large surface veins left behind after the vein is closed. No stitches are required and the scars from ambulatory phlebectomy are nearly imperceptible. The possible risks of ambulatory phlebectomy include an allergic reaction to the anesthetic and localized numbness.