In conjunction with EVLT, a minimally invasive surgical technique called ambulatory microphlebectomy is commonly used to complete treatment of varicose veins. After EVLT has treated the source problem, the bulging and dilated varicose veins are then removed through tiny nicks in the skin. The blade used in this procedure is the same as used for eye surgery and is relatively painless after lidocaine administration. The procedure is performed under local anesthesia, typically takes only a few minutes and generally leaves no scars. Recovery is rapid and most patients do not need to interrupt regular activity after the procedure.