Context: The varicose vein is a common chronic peripheral vascular disease affecting the lower limbs. They have significant impact on the quality of life. Even though considerable advances in understanding venous pathophysiology and modern imaging techniques have revolutionized the lower limb varicosity management, whether these inferences hold good for our population is a pertinent question. Aims: To evaluate the clinical presentation and surgical outcome of management of varicose vein. Settings and Design: Prospective observational study. Methods and Material: Prospectively patients with symptoms and signs of varicose vein are evaluated. Precise proforma used to collect patient's demographic details, clinical features, and investigation reports; during the study from August 2016 to November 2018. Statistical analysis used: univariate analysis, percentages. Results: This study includes 132 patients, seventytwo (54.54%) are males, and sixty (45.45%) are females. In this study, varicose veins are commonly seen in the 40–50yr's age, and the right limb was affected in 51.38% than the left limb 88 (48.62%). The incompetence of the Saphenofemoral junction valve is seen in 24 (13.26%) patients, saphenopopliteal Valve incompetent in 17 (9.39%) patients & below knee perforator in 32 (17.67%) patients. Twenty-one out (15.90 %) of one thirty-two had a complication in our study; the commonest was surgical site infection in twelve (7.2%) patients. Conclusions: The varicose veins of lower limbs are a disease of the all-age adult group, common in fourth and fifth decades of life. Patients usually presents with complications rather than the disease itself. The wound infection is the common postoperative complication. Keywords: Flush Ligation; Saphenofemoral junction; Perforators; Varicose vein; Venous disease. Key Messages: Management of varicose vein is technology driven, Good results can be achieved by proper selection of patients and appropriate procedures.