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Introduction: Varicose vein is a common medical condition present in at least 1O% of general population. The ndings of varicose veins include dilated and tortuous veins, telangiectasias and ne reticular varicosities. There are a large number of complications like longer recovery time and higher recurrence rates with the conventional surgical stripping technique. EVLT and RFA are the novel minimally invasive treatment modalities with the advantages of safety, effectiveness and simplicity and leaves no scars. Its indication can be extended by combining surgical strategies with improved quality of life. To compare EVLT and various Aims and Objectives: effective minimal access methods (RFA) in the treatment of varicose veins and to evaluate cost effectiveness of these techniques. Material and Methods: This study of 80 patients of varicose veins treated using laser (EVLT) and Radio frequency generator unit (RFA) with bipolar applicator, Doppler and ultrasound machine to map the vein to be treated during procedure, was carried out between January 2019 to September 2020. Imaging was primarily done using duplex ultrasound as it is easily available, sensitive, non-invasive and relatively cost effective. Results: The study compared EVLT and RFA in terms of time taken for procedure, cost of procedure, response to therapy, complications, recurrence and need for re-intervention, and suggested that EVLT is signicant at p |