Objectives: To assess the influence of venous reflux pattern and superficial venous surgery on ulcer healing and long-term recurrence rates and also to prove that surgery for varicose veins will help in resolution of venous ulcer, thereby improving their quality of life and improve their efficiency at work. Design: Retrospective observational study Methods: Data was collected from the inpatient and outpatient records at a tertiary care setup hospital. All operated cases of varicose veins with venous ulcers(CEAP C class 6) were followed up. A proforma was made highlighting all the salient findings as type of varicose surgery and choice of post operative compression and datas were collected. Study duration was from june 2012 to june 2015. Results: A total of 91 cases of operated varicose veins (11 GSV stripping, 72 GSV stripping + perforator ligation and 8 cases of perforator ligation alone) with venous ulcers were studied, out of which 27 patients were non compliant to postoperative compression and 11 cases had recurrent venous ulcers with 6 cases having recurrent varicose veins. Pattern of superficial venous reflux and risk factors associated with recurrent ulcers were also studied. Conclusion: Superficial venous surgery done in an effective manner, with proper postoperative compression of these patients definitely produces good results with less recurrence of both venous ulcers and varicose veins. 

Keywords: Varicose; Venous; Ulcer; Veins; Trendlenbergs; Procedure; Stripping; Ligations; Compliance; Compression; Stockings; Crepebandage; Insufficiency; Duplex Imaging; Saphenous; Veinsurgery.