Myth: Once Operated, Varicose Veins Will Never Come Back
Many patients believe that once varicose veins are treated surgically, the problem is permanently solved. This is a myth.
Even after a technically successful procedure, there is still a small but real chance of recurrence.
On average, the recurrence rate is about 2%, even when the surgery is done correctly.
Why Can Varicose Veins Recur?
Recurrence usually does not mean the surgery failed. In most cases, doctors perform the procedure properly. The reasons lie in individual risk factors, not poor treatment.
1. Genetics (The Most Common Reason)
- Some people are genetically prone to weak vein walls and valves
- Even after treatment, new veins can become faulty over time
- This is the most common cause of recurrence
2. Excess Body Weight
- If a patient is overweight, pressure inside the veins increases
- This raises the recurrence risk from ~2% to around 5%
- Weight management plays a major role in long-term success
3. Advanced Disease at the Time of Treatment
- If treatment is delayed until ulcers or open sores develop
- The disease is already severe and widespread
- In such cases, recurrence risk can rise to nearly 15%
Early treatment significantly reduces this risk.
Why the “Permanent Cure” Belief Is Misleading
Varicose veins are a chronic condition, not a one-time problem. Surgery treats:
- Existing faulty veins
But it cannot change: - Genetics
- Lifestyle habits
- Natural ageing of veins
That’s why long-term care and follow-up are essential.
A Simple Analogy to Understand Recurrence
Treating varicose veins is like weeding a garden.
- A skilled gardener removes all visible weeds (the diseased veins)
- But the soil quality and wind-blown seeds (genetics and lifestyle) remain
- Over time, new weeds may sprout
This doesn’t mean the gardener did a bad job—it means the environment still allows weeds to grow.
How to Reduce the Risk of Recurrence
While recurrence cannot always be prevented, it can be significantly reduced by:
- Maintaining a healthy weight
- Staying physically active
- Wearing compression stockings if advised
- Attending regular follow-up visits
- Seeking treatment early, before ulcers form