Concierge vascular surgery · London
Private laser vein treatment (EVLA/RFA) in London, the modern varicose-vein treatment.
Walk-in, walk-out treatment for true varicose veins — with duplex confirmation of reflux, tumescent local anaesthetic and a proper stockings-and-follow-up plan.
Why patients choose us
- 01
Consultant hands, every time
A consultant vascular surgeon does the treatment — not a nurse-led cosmetic vein room.
- 02
Duplex-confirmed reflux first
No vein is ablated without a diagnostic duplex ultrasound showing where the reflux actually is.
- 03
Independent, and free
We are paid by no clinic, so the recommendation is impartial and costs you nothing.
Indicative pricing
What private laser vein treatment costs in London.
Indicative ranges across our partner clinics. Send the details and we quote firm figures across two or three options.
In short
A one-leg EVLA or RFA in our network: £2,500-£4,500, walk-in walk-out same day.
| Treatment type | Indicative range | Typical duration | Results turnaround |
|---|---|---|---|
| Duplex assessment only | £250–£500 | 45 min | Same visit |
| EVLA / RFA — one leg | £2,500–£4,500 | Half-day | Same visit |
| EVLA / RFA — both legs | £4,000–£7,500 | Half-day | Same visit |
| EVLA + phlebectomy | £3,000–£5,500 | Half-day | Same visit |
| EVLA + foam sclerotherapy | £3,200–£5,800 | Half-day | Same visit |
| Post-op duplex surveillance | £250–£500 | 30 min | Same visit |
Prices vary by clinic, by whether one or both legs are treated, and by whether phlebectomy or foam sclerotherapy is added. We come back with a firm quote within one working day.
The problem
Cosmetic clinics zap veins. Vascular surgeons treat them.
Varicose veins are a plumbing problem before they are a cosmetic one. Duplex ultrasound first, ablation by a consultant, and proper stockings-and-follow-up — that is the difference between a lasting result and veins that come back within a year.
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Just want them gone?
Fine — but not until a consultant has mapped the reflux on duplex and decided which vein is actually the source.
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Symptoms worse at day’s end?
Aching, heaviness and restless legs from venous reflux are treatable — and often insurance-covered.
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Treated before, back again?
Recurrence after stripping or ablation is common. A fresh duplex tells us what to do next.
The journey
From enquiry to result — what happens, in order.
One clinician from first message to post-op duplex — including compression and follow-up.
Phase 1 · Before your procedure
Concierge, off-stage for you
Phase 2 · On the day
~half a day at the clinic
Phase 3 · After
Concierge, back on
- 01
Before
You tell us what is going on
A short, confidential form. Describe the veins, symptoms and any prior treatment. A photo of the leg helps.
- 02
Before
We come back with a recommendation
Within one working day: which consultant vascular surgeon, which theatre, indicative price. If a duplex is needed first, we book that.
- 03
Before
We arrange the appointment
Usually within a week. Duplex ultrasound to map reflux, then a plan — EVLA, RFA, phlebectomy or foam sclerotherapy.
- 04
On the day
Arrival at the clinic
Consent, re-marking of the veins under duplex, and tumescent local anaesthetic. The only sharp moment is that first injection.
- 05
On the day
The ablation itself
45-90 minutes depending on how many veins and whether phlebectomy is added. You are awake, comfortable, and walking off the table.
- 06
On the day
Home the same day
Compression stockings on, a short walk, and home within the hour. Most people drive the next day.
- 07
After
Follow-up and duplex surveillance
A duplex scan at 2-6 weeks confirms closure. We chase results and organise any top-up sclerotherapy if needed.
Typical end-to-end: 1-2 weeks to procedure, then a 2-6 week surveillance duplex.
When it is the right step
When endovenous ablation is the right treatment.
Not every leg vein needs ablating. These are the situations where EVLA or RFA — done properly, after duplex — is the right call.
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Confirmed truncal reflux
Great or small saphenous incompetence on duplex — the classic indication for endovenous ablation.
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Larger varicose veins
Bulging, rope-like veins fed by an incompetent trunk — treat the source, then the tributaries.
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Aching / heaviness / restless legs
The daily symptoms of venous reflux — often worse at the end of the day or in warm weather.
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Venous ulceration
Healed or active leg ulcers linked to superficial reflux. Ablation reduces recurrence.
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Skin pigmentation from venous disease
Haemosiderin staining or lipodermatosclerosis around the ankle — a sign the reflux is doing damage.
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Recurrence after prior stripping
Neovascular or residual reflux after surgical stripping years earlier — treatable endovenously.
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Post-thrombotic reflux
Superficial reflux following a previous DVT — treated selectively, always after duplex.
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Red flag: acute red hot painful leg — 999 (rule out DVT)
Do not wait. A hot, swollen, painful leg needs emergency assessment to exclude a deep-vein clot.
Treatment types
Not all vein treatments are the same.
What each option on your quote is actually for.
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Duplex assessment only
A diagnostic ultrasound of the deep and superficial venous system — the map that every treatment plan is built on.
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EVLA / RFA one leg
Endovenous laser or radiofrequency ablation of the incompetent trunk in one leg, under tumescent local anaesthetic.
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EVLA / RFA both legs
Same-day bilateral ablation when duplex confirms reflux in both limbs. Longer session, single anaesthetic.
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EVLA + phlebectomy
Ablation of the trunk plus micro-incision removal of bulging tributaries — a one-visit answer for larger varicosities.
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EVLA + foam sclerotherapy
Ablation of the trunk with foam injections for residual reticular veins. Less invasive than phlebectomy.
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Post-op duplex
A short surveillance scan at 2-6 weeks to confirm the treated vein has closed and no DVT has developed.
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Recurrent-vein treatment
Selective ablation or foam for reflux returning after prior stripping or ablation, always mapped by duplex first.
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Combined with sclerotherapy touch-up
A follow-up foam or micro-sclerotherapy session for cosmetic tidy-up of small residual veins.
Our vetted London network
A small panel of clinics, we picked them.
Partners across central, north, west and south London. Not listed publicly — introductions are made privately, once we understand your case.
Selection criteria
How we choose every clinic in our network.
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NICE CG168-aligned consultant vascular surgeons
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Consultant-led, theatre-standard care — not a cosmetic side-room
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Duplex confirmation of reflux mandatory before any ablation
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Onward sclerotherapy or phlebectomy pathway included in the plan
Safety and aftercare
Safer, and easier, than most people expect.
Endovenous ablation is safe and usually straightforward. The things worth knowing are the compression plan, when to fly, and why duplex confirmation is non-negotiable.
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Local anaesthetic (tumescent)
The whole procedure is done under tumescent local anaesthetic — you are awake, comfortable and walking off the table.
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Walk out the same day
You are up and moving within minutes and home the same day. Most people are back to normal the following day.
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Compression stockings for 2 weeks
Class-2 compression stockings are worn for around two weeks after the procedure to help the treated vein close.
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Avoid flying for 4 weeks after larger sessions
Long-haul travel is deferred for around four weeks after larger ablations to reduce DVT risk.
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Driving usually next day
Most patients drive the next day. If both legs are treated, we advise waiting a little longer.
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Anticoagulation planned individually
Blood-thinning medication is coordinated with the surgeon in advance and should never be stopped without advice.
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Pregnancy defers procedure
Elective vein treatment is deferred during pregnancy — the veins often improve on their own after delivery.
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Nerve irritation and skin pigmentation are recognised risks
Small patches of numbness or brown skin staining along the treated vein are uncommon but recognised outcomes.
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Always require duplex-confirmed reflux first
No vein is ablated without a diagnostic duplex ultrasound showing where the reflux is and where it is not.
Reading your report
A procedure report can look intimidating. It isn’t.
Whichever vein was treated, the report keeps to the same four parts.
A quiet reminder
Procedure language is precise and can read coldly — we translate it for you.
If you would like us to talk you through it before your follow-up, just ask.
- 01 Header
Indication and duplex findings
Why the procedure was done — symptoms, examination and the specific pattern of reflux on duplex ultrasound.
- 02 Technique
Target vein, energy and tumescent
Which trunk was treated, the energy modality used (laser or radiofrequency) and the volume of tumescent anaesthetic.
- 03 Findings
Per-vein result — closure confirmed
Vein-by-vein confirmation of ablation, any tributaries treated by phlebectomy or foam, and post-procedure duplex.
- 04 Impression
Read this first — recovery and review
What to expect for recovery, the compression stocking plan, and when to come back for surveillance duplex.
Recognised by major UK insurers
Most policies cover EVLA and RFA when clinically indicated with duplex-confirmed reflux; cosmetic-only treatment is usually self-pay. We confirm cover before booking.
Frequently asked
Everything we get asked about laser vein treatment.
Quick answers on EVLA vs RFA, compression, cost and recurrence.
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EVLA vs RFA vs sclerotherapy — what is the difference?
EVLA (endovenous laser) and RFA (radiofrequency ablation) both heat the incompetent trunk from inside so it seals shut — outcomes are comparable and the choice is usually the surgeon’s preference. Sclerotherapy injects a foam or liquid to scar smaller veins closed; it is not a substitute for ablation of a truncal reflux, but works brilliantly as a tidy-up.
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Why is a duplex ultrasound essential first?
A duplex scan is the only reliable way to see where the reflux actually is — which trunk, how long, and whether the deep system is patent. Treating a vein without duplex means treating blindly, and it is the single biggest reason varicose veins recur.
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Does it hurt during the procedure?
The tumescent local anaesthetic is the only sharp part — a series of small injections along the vein. Once that is done, you feel pressure and pushing rather than pain. Most people describe it as much easier than they expected.
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How long do I need to wear compression stockings?
Usually around two weeks — full-time for the first few days, then during the day. Your surgeon will give you the exact plan for the veins that were treated.
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When can I drive after the procedure?
Most patients drive the next day after a single-leg ablation. If both legs are treated on the same day, we advise waiting a little longer and having someone available for the first 24 hours.
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How much does private laser vein treatment cost in London?
A single-leg EVLA or RFA is typically £2,500-£4,500 and both legs £4,000-£7,500. Adding phlebectomy or foam sclerotherapy pushes it higher. We confirm firm figures within one working day.
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Do I need a GP referral?
No — you can self-refer for private vein treatment. If you have insurance cover, most insurers require a GP letter and a duplex report before authorising, which we help coordinate.
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Can I have it done during pregnancy?
Elective vein treatment is deferred during pregnancy. Many varicose veins improve after delivery, and treatment is safer and more durable once you are no longer pregnant or breastfeeding.
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How likely is it that the veins come back?
Endovenous ablation has excellent long-term closure rates — recurrence is usually from new veins developing rather than the treated vein reopening. A short surveillance duplex confirms closure, and tidy-up sclerotherapy handles small residual veins.
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When should I see a GP urgently instead?
A hot, red, swollen and painful leg — especially after long travel or immobility — needs emergency assessment to exclude a DVT. Call 999 or go to A&E rather than waiting for a vein appointment.
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