Best Doctor for Varicose Veins Treatment in Chandigarh, Panchkula & Mohali | Varicose Veins Specialist Zirakpur

Varicose veins, once treated only by painful surgeries, have entered a modern era of endovenous treatments—a revolution driven by precision, minimal invasiveness, and faster recovery. But with this evolution comes a wide range of techniques, devices, and costs. Patients today often ask:

Why does varicose vein treatment cost anywhere between ₹60,000 and ₹1,50,000? What am I actually paying for?

This article explores the full spectrum of endovenous treatment options, breaking down what determines the cost, and why choosing the right method and team matters far more than simply choosing the cheapest quote.

What is Endovenous Treatment?

“Endovenous” means inside the vein. These are modern, minimally invasive procedures that treat the underlying issue—faulty vein valves causing backward blood flow—by closing off the affected veins from within, rather than surgically removing them.

Unlike older surgical methods like stripping, modern endovenous procedures:

Do not involve large incisions.
Are performed under local anesthesia.
Are typically day-care procedures.
Allow faster mobility and quicker return to work.

Endovenous treatment isn't a single method—it’s a bouquet of techniques, each with its own mechanism, tools, and cost implications.

The Major Types of Endovenous Treatments

Let’s dive into the most popular and effective endovenous procedures currently practiced in India:

Endovenous Laser Ablation (EVLT)

Cost: ₹90,000 – ₹1,50,000

How it works: A laser fiber is inserted into the vein, and thermal energy is applied to seal the vein shut.

Pros: Well-established, good success rates.

Cons: Post-procedure pain or bruising is common; not suitable for all vein anatomies.

Radiofrequency Ablation (RFA)

Cost: ₹90,000 – ₹1,50,000

How it works: Similar to laser, but uses radio waves to heat and close the vein.

Pros: Less painful than laser; faster recovery.

Cons: Slightly higher equipment cost, limited by vein tortuosity.

Microwave Ablation

Cost: Comparable to laser and RFA.

How it works: Microwave energy is used to ablate the vein.

Pros: Effective and efficient.

Cons: Still evolving in widespread adoption.

he Special Case of MOCA – Mechanochemical Ablation

What is MOCA?

MOCA (Mechanochemical Ablation) is a non-thermal, non-tumescent method where:

A rotating wire (inside a catheter) damages the vein wall.
Simultaneously, a chemical sclerosant is infused to collapse the vein.

Why is MOCA Unique?

Starts from the foot, allowing for comprehensive treatment.
No need for multiple punctures.
Instant ablation—the activated catheter is simply withdrawn, and the vein is closed within seconds.
Often combined with glue therapy (like Endocryl) to close perforators—tiny branches contributing to ulceration.

MOCA Cost Range:

₹60,000 – ₹1,25,000 depending on:

Number of veins treated.
Need for adjunct glue.
Anatomy complexity.
Experience and facility expertise.

Why MOCA Cost Varies So Much:

Repeat ablations can be done with the same catheter, improving value.
Perforators may need additional glue injections (₹5,000 per site).
Larger or tortuous veins need longer ablation length, raising material cost.
Outcomes vary dramatically by operator—only well-trained teams deliver reliable results.

What About VenaSeal (Cyanoacrylate Glue Closure)?

VenaSeal or similar glue systems use a proprietary adhesive to seal the vein shut.

Key Highlights:

Cost: Higher due to proprietary kits and single-use materials.
Pain: Almost painless; no need for nerve block.

Usage Limitations:

Glue is not reusable.
Cannot be used in large-caliber veins or near junctions like the sapheno-femoral junction.
Limited quantity per kit; longer veins require multiple kits, escalating costs.

Drawbacks:

Risk of eczema, inflammation, allergic reaction.
Not suitable for complex cases or ulcers.
Cannot be used in very distal or foot-based veins.

Why Does the Cost Vary So Widely?

Now, let’s decode why two patients undergoing the “same” treatment might pay vastly different prices.

Technique Chosen

Each modality—laser, RFA, MOCA, glue—has its own cost structure depending on the equipment, consumables, and level of expertise required.

Vein Anatomy

Some patients have:

Long, tortuous veins.
Multiple incompetent systems (GSV, SSV, perforators).
Venous ulcers needing additional care.
More complexity = more material = higher cost.

Facility & Expertise

High-volume, expert-led centers like IR Facilities:

Use premium materials.
Have access to advanced imaging for accurate targeting.
Provide personalized therapy tailored to each patient’s anatomy.
Achieve superior outcomes, often in a single session.

Lower-cost clinics may:

Use outdated techniques.
Overtreat or undertreat.
Offer no follow-up support.

Comprehensiveness of Care

Complete treatment may involve:

Ultrasound mapping
Treatment of perforators
Post-procedure compression therapy
Follow-up Doppler scans

Many of these services are bundled in high-quality centers but may be excluded in “budget” packages.

The Real Question: Cost vs Value

While cheaper options are tempting, remember:

Sclerotherapy (~₹15,000) is ineffective for large veins.
Stripping (~₹25,000) causes discomfort, scarring, and high recurrence.
Low-cost MOCA or laser at unskilled hands may lead to partial treatment, missed veins, and relapse.

So, even though ₹90,000–₹1,25,000 may seem high upfront, it's often a one-time, definitive fix—saving patients from repeated procedures and prolonged suffering.

Summary Table: Endovenous Treatment Cost & Key Differences

Treatment Type	Cost (INR)	Pain Level	Success Rate	Suitable For	Drawbacks
Laser Ablation	₹90,000 – ₹1.5 Lakh	Mild	High	Most patients	May bruise; thermal injury
RFA	₹90,000 – ₹1.5 Lakh	Mild	High	Standard cases	Costly machine
Microwave Ablation	Similar to RFA	Mild	High	Similar to RFA	Newer tech
MOCA	₹60,000 – ₹1.25 Lakh	Moderate	High (if skilled)	Foot-to-groin veins; ulcers	Operator dependent
VenaSeal (Glue)	₹1 Lakh – ₹1.8 Lakh	Minimal	Moderate–High	Short veins, allergy-prone	Costly; limited indications