In conjunction with EVLT, a minimally invasive surgical technique called ambulatory microphlebectomy is commonly used to complete treatment of varicose veins. After VLT treats the source problem, the varicose veins (which are bulging and dilated) are then removed using a tiny nick.

The blade used for this procedure is the same scalpel used for eye surgeries, and therefore is relatively painless after lidocaine administration. It also generally leaves no scars. The abnormal vein is then removed through this tiny incision(s) using special tools. The procedure is done under local anesthesia and typically takes only a few minutes. Recovery is rapid, and most patients do not need to interrupt regular activity after the procedure.