Twenty-one patients with varicose vein incompetence of the legs have been treated with the TriVex system (Smith & Nephew, Andover, MA, USA). The technique is designed for treatment of local varicosities to provide a good cosmetic result (remaining varicosities and pigmentation) and less morbidity (pain and loss of work days). These parameters showed good results with few remaining varicosities and pigmentations. Reasonable number of days out of work and moderate pain. Eighteen of the 21 patients had an overall good outcome with no complaints.