Varicose veins are more than just a cosmetic concern–they can cause leg pain, swelling, and discomfort while increasing the risk of serious vascular complications. Endovenous Laser Therapy (EVLT) is a minimally invasive, highly effective laser treatment designed to seal off diseased veins, improve circulation, and eliminate varicose veins with minimal downtime.
At Vascular Surgery Associates, our top vascular specialists in Los Angeles and Santa Monica offer state-of-the-art EVLT treatments, providing patients with a safe, effective, and long-lasting solution for varicose veins.
What is Endovenous Laser Therapy (EVLT)?
EVLT is an FDA-approved, minimally invasive procedure that uses precise laser energy to close malfunctioning veins, allowing blood to reroute through healthy veins. This treatment effectively eliminates bulging, painful varicose veins without the need for surgical vein stripping.
How the Procedure Works
- A small catheter is inserted into the diseased vein through a tiny incision.
- Laser energy is delivered through a thin fiber, heating the vein walls and causing them to collapse and seal shut.
- The body naturally reroutes blood flow to healthy veins, improving circulation.
- Over time, the treated vein is absorbed by the body, leaving no visible trace.
EVLT is performed in-office with local anesthesia, typically taking less than an hour with minimal recovery time.
Who is a Candidate for EVLT?
EVLT is an excellent option for patients who:
- Have painful, swollen, or aching varicose veins
- Experience leg heaviness, cramping, or fatigue due to vein disease
- Have visible bulging veins or skin discoloration
- Have chronic venous insufficiency (CVI) causing poor circulation
- Want a minimally invasive, highly effective alternative to surgery
At Vascular Surgery Associates, our specialists perform a thorough vascular evaluation, including ultrasound imaging, to determine if EVLT is the best treatment option.
Benefits of Endovenous Laser Therapy for Varicose Veins
EVLT offers significant advantages over traditional vein treatments, making it the preferred choice for patients seeking fast, effective results.
Minimally invasive
No large incisions or stitches
Quick treatment
Procedure typically lasts 30-45 minutes
Fast recovery
Most patients return to normal activities within 24-48 hours
High success rate
More than 95% of treated veins remain closed long-term
No general anesthesia required
Only local numbing for comfort
Long-lasting results
Eliminates varicose veins and improves circulation
Unlike traditional vein surgery, EVLT allows patients to resume daily activities quickly, with minimal pain and no downtime.
What to Expect During & After EVLT Treatment
Before the Procedure
- Patients undergo a venous ultrasound to map out the diseased vein.
- A local anesthetic is applied to ensure comfort.
During the Procedure
- A tiny laser fiber is inserted into the vein using a catheter.
- Laser energy gently heats the vein, causing it to seal shut.
- The procedure is quick and painless, with most treatments completed in under an hour.
After the Procedure
- Patients can walk immediately after treatment and resume most activities.
- A compression stocking is worn for a few days to promote healing.
- Mild bruising or swelling may occur but resolves within a few weeks.
Most patients notice significant symptom relief and cosmetic improvement within a few weeks.
Frequently Asked Questions About Endovenous Laser Therapy (EVLT)
No, the procedure is virtually painless, with patients experiencing only minor pressure or warmth during treatment.
Most patients notice immediate symptom relief, while cosmetic improvements appear gradually over a few weeks.
No, patients can walk immediately after treatment and return to work the same or next day.
Yes, treated veins are permanently sealed, but maintaining healthy circulation through exercise and lifestyle habits is essential to prevent new vein issues.
Most insurance plans, including Medicare, cover EVLT if it is medically necessary. Our office provides insurance verification and assistance.

Dedicated to Excellence in Vascular Care Since 1963
Vascular Surgery Associates (VSA) has established itself as a cornerstone of vascular health in Southern California, combining decades of experience with cutting-edge treatment methods. Founded by visionary surgeons in 1963, our practice has grown from pioneering beginnings into one of the busiest and most respected vascular surgery groups in the Western United States.
Schedule Your EVLT Consultation in Santa Monica or Los Angeles Today
If you suffer from painful, swollen varicose veins, Endovenous Laser Therapy (EVLT) offers a quick, effective solution with minimal downtime. At Vascular Surgery Associates, our leading vascular specialists in Los Angeles and Santa Monica provide state-of-the-art vein treatments to help patients achieve healthier legs and improved circulation.
Contact us today to schedule a consultation and learn if EVLT is the right treatment for you.