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Introduction: While traditional ambulatory phlebectomy (AP) is a safe and effective procedure, few adverse effects such as hematoma, bleeding, bruising and nerve injury have been reported. To improve AP and to reduce some of these adverse events, herein we report a novel technique – Foam Sclerotherapy Assisted Phlebectomy (SAP). Report: The details of the above technique, along with the potential advantages and limitations will be discussed. Discussion: Foam sclerotherapy and DUS act as valuable adjuncts to traditional AP. SAP increases precision and creates additional venospasm leading to reduced bruising, reduced nerve injury and sclerosis of residual vein segments. Keywords: Varicose veins, Sclerotherapy, Foam sclerotherapy, Phlebectomy, Venous insufficiency