Background:This research conducted a comparative analysis between traditional open surgery involving venous stripping and a modern approach using radiofrequency ablation (RFA) for the treatment of varicose veins.Methods:The investigation involved a cohort of 136 patients, distributed evenly into two groups of 68 individuals each. In Group I, patients underwent open surgery with venous stripping, while in Group II, patients underwent radiofrequency ablation (RFA).Results:In Group I, comprising 40 males and 28 females, the mean duration of surgery was 50.4 minutes, and the hospital stay averaged 5 days. In contrast, Group II, with 36 males and 32 females, had a significantly shorter mean surgery duration of 10.2 minutes and a reduced hospital stay of 2 days (P< 0.05). Common complications, such as bleeding (16 in Group I, 2 in Group II), hematoma (10 in Group I, 2 in Group II), and inflammation (64 in Group I, 4 in Group II), exhibited significant differences between the two groups (P< 0.05).Conclusion:The authors concluded that conservative management utilizing radiofrequency ablation (RFA) was determined to be more effective when compared to open surgery with venous stripping.