Aim: A comparative analysis between open surgery with venous stripping and radiofrequency ablation (RFA) of varicose veins. Materials and Methods: A prospective study was conducted on a sample of 100 patients from the department of general surgery, encompassing both male and female individuals. The participants were allocated into two groups, each consisting of 50 individuals. Patients in Group A underwent open surgery involving venous stripping, while patients in Group B underwent radiofrequency ablation (RFA). The study compared various parameters, including bleeding, hematoma formation, blood transfusion requirements, postoperative inflammation, and length of hospital stay. Results: There were 29(58%) males and 21(42%) females in group A and 27(54%) males and 23(46%) females in group B. The mean duration of surgery in group A was 56.11±3.61 minutes and in group B was 17.11±2.11 minutes. Hospital stay was 4.77±0.88 days in group A and 1.33±0.22 days in group B. The difference was significant (P<0.05). The common complications were bleeding seen 13(26%) in group A and 2(4%) in group B, hematoma seen 7(14%) in group A and 2(4%) in group B and inflammation seen 44(88%) in group A and 3(6%) in group B. The difference was significant (P< 0.05). Conclusion: Our study revealed that conservative management utilizing radiofrequency ablation (RFA) demonstrated superior outcomes when compared to open surgery involving venous stripping.