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Varicose veins, phlebectasia and venous varices are more or less synonymous terms. The term varicose vein generally refers to the diseased vein as a whole; while phlebectasia more properly refers only to the dilated veins and not to the pouched and sacculated areas. The large irregular pouches are generally designated venous varices. Because of the relative frequency of the condition in the long saphenous vein and its branches, the term varicose veins has come to be associated almost exclusively with the condition as it is found in the lower extremities. While varicosis is often seen in these parts, it is by no means the only part of the body in which it occurs. The condition is seen quite as frequently, if not more so, in the spermatic cord, where it is referred to as varicocele and is due to dilatation of the veins of the spermatic cord. Likewise, the hemorrhoidal

The occurrence of varicose veins in the legs in varying degrees of severity, is much more general and frequent than is usually assumed. Relief is sought only in the more advanced cases, usually those in which considerable incapacitation has occurred. While the patient with a more advanced case may bring his malady to the attention of his physician, the less marked and early case is only observed on careful physical examination, and even then only by the physician who notes the condition of the legs with the patient standing. Yet, it is the early case that offers the most favorable ultimate prognosis. Because of the neglect to note this condition, the case records of even the best conducted clinics are not available in determining the frequency. Even a random estimation would not be of value. General observation leads one to feel that varicose veins are of greater frequency among the