Background: Chronic venous disease is an important cause of morbidity in a significant percentage of the world’s population. The present study was conducted to compare ambulatory phlebectomy and compression sclerotherapy for varicose veins. Materials & Methods: 50 patients of varicose veins of both genderswere divided into 2 groups of 25 each. Group I underwent ambulatory phlebectomies and group II underwent foam sclerotherapy. Presenting primary symptomsand post-procedure symptoms were compared. Results: Group I had 15 males and 10 females and group II had 13 males and 12 females. Primary symptoms in group I and group II were bleeding in 12 and 14, ulcer in 5 and 6, itching in 6 and 3, pain in 2 and 5, edema in 10 and 8 and night cramps in 3 and 7 respectively. Post-procedure symptoms were bleeding in 2 and 4, transient loss of sensation in 1 and 2, small ulcers in 2 and 3, superficial thrombophlebitis in 4 and 6 and transient skin pigmentation in 2 and 3 respectively. The difference was significant (P< 0.05). Conclusion: Ambulatory phlebectomy is an efficient treatment method for varicose veins of the leg.