Varicose veins (VV) and accompanied venous insuf¿ciency is a frequent disorder, affecting 30% of the Western populations. Chronic venous insuf¿ciency has a major impact on patients' health-related quality of life (QoL) similar with different chronic disorders including DM as well as CVDs. GSV incompetence is usually managed by sapheno-femoral high ligation as well as stripping of the thigh GSV. On the other hand, the requirement for surgery, adverse effects, relapse and bad cosmoses following surgeries induced the emergence of minimal invasive procedures throughout the past decades . Such modern endovascular procedures challenge operation as the best therapeutic modality of venous insuf¿ciency. Several researches were described Ultrasound guided foam sclerotherapy (UGFS) a promising modality owing to the relatively great safety rates, simple procedure and require low charge in comparison with other modalities. The discrepancies among the researches are significant, UGFS variation is utilized and several records outcomes following repeated UGFS.