Venous disease takes many forms ranging from cosmetically displeasing spider veins to painful varicose veins to severe venous insufficiency with skin ulceration. Vascular and Endovascular Surgery surgeons at our Shapiro Cardiovascular Center employ traditional surgical methods to treat large varicose veins. Severe chronic venous insufficiency is primarily treated with custom-made elastic support stockings and appropriate local wound care of venous stasis ulcers.