Some people desire treatment for cosmetic reasons at the first site of spider veins. Others seek treatment for the medical benefits that it will provide the legs and may even delay treatment until physical symptoms are unbearable or interfere with quality of life.

Treatment of varicose veins may be appropriate for a number of reasons including relief of such symptoms as aching, throbbing or tenderness of the veins or swelling in the feet and legs that compromise walking. The circulatory system tends to suffer more disease with age, and without treatment diseased leg veins will continue to enlarge and worsen over time.