Background: Despite all the advances in management, stripping remains important in the treatment of varicose veins and is usually preferable to endovenous procedures if carried out correctly. Since the prehistoric era, varicose veins of lower extremities are one of the most common ailments affecting humankind. With the adoption of erect posture, human became susceptible to pathology of varicose veins of dependent venous system.Materials and methods: This is a prospective study was conducted over a two-year period all admitted patients to a Tertiary Care Teaching hospital of varicose veins were evaluated for demographics, clinical manifestations, treatment and outcome. In the present study the clinical material consists of all the patients admitted with varicose veins of lower limb. Result: In our study, maximum number of patients were in 18-30 years and predominant were male. In this series, 46 patients had varicosity in the left lower limb and 38 had varicosity in the right lower limb and the remaining 6 had bilateral limb involvement. Among them prominent veins and pain were the main complain in 70 (77.7%) patients. Itching and pigmentation were present in 8 (8.9%) patients. Ankle edema was present in 7 (7.8%) patients. Pain and ulceration of lower leg were present in 5 (5.6%) patients. Out of 90 cases studied, 37 (41.1%) had only long saphenous vein, 15 (16.7%) had short saphenous vein and in 14 (15.5%) cases both short and long saphenous were involved. In addition to long saphenous vein, incompetent perforators were present in 24 (26.7%) cases.Conclusion: Operative line of management should be the first line of treatment even though conservative management relieves the symptoms but always requires a definitive management. In the present study, varicose veins are commonly seen in males, maximum in the age group of 30 to 50 years. Most common presenting symptom is visible dilated veins over lower limb but more than half of the patients present with one or more complications..