Background: Varicose veins can cause a variety of symptoms of discomfort in the legs, but it is important to try to differentiate these from the many other reasons for leg pains. Hence; the present study was conducted for clinico-radiological evaluation and treatment among patients with varicose veins of lower limb. Materials & methods: A total of 30 patients who were diagnosed with varicose veins of lower limb were enrolled. Complete demographic and clinical details of all the patients were assessed. Radiographic profile of all the patients was evaluated. Management was done either by conservative or surgical measures depending upon the evaluation of the patient. Patients were followed up for up to one year. All the results were recorded in Microsoft excel sheet and were subjected to statistical analysis using SPSS software. Univariate analysis was done for assessment of level of significance. Results: A total of 30 patients were evaluated. Mean age of the patients was 45.3 years. 70 percent of the patients were males. Unilateral involvement occurred in 73.33 percent of the patients. Clinical profile included dull aching pain, non-healing ulcer, night cramps and deep vein thrombosis in 60 percent, 33.33 percent and 10 percent of the patients respectively. Common femoral vein involvement occurred in 56.67 percent of the patients. SPJ competence was seen in 26.67 percent, 16.67 percent and 30 percent of the patients with Class 2, Class 4 and Class 6 grading. SEJ flush with GSV stripping, SEJ flush ligation with perforator ligation, SEJ flush ligation and Subfascial perforator ligation were done in 60 percent, 13.33 percent, 10 percent and 10 percent of the patients respectively. While assessment the outcome, in 86.67 percent of the patients, pathologic was relieved. Conclusion: Varicose veins are a combination of permanently elongated and dilated veins and should undergo surgical treatment specially to avoid any future ulceration.