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PHLEBO.UZphlebologist Anvar Midxatov
Treatment5 min readPublished:

Varicose Vein Treatment in Uzbekistan: Methods, Prices, What Has Changed

Over the past ten years, phlebology in Uzbekistan has changed dramatically: lengthy operations under general anaesthesia have given way to minimally invasive methods after which patients walk home on their own. Here is what is currently available, what to expect, and how to make the right choice.

Over the years of my practice I have watched attitudes toward varicose veins change — both among patients and within medicine itself. Back in the early 2010s most of my colleagues in Tashkent performed classical phlebectomy: incisions, a 5–7-day hospital stay, and a long recovery. Today the picture is entirely different, and I am glad to share it.

Where Varicose Veins Come From and Why It Is Important Not to Wait

Varicose veins are not merely a cosmetic problem. Dilated, deformed veins of the lower limbs develop because of venous valve insufficiency: blood begins to flow in reverse, pressure in the veins increases, and their walls stretch. Gradually heaviness and swelling appear towards evening, cramps at night, and on the skin — spider veins or bulging nodes.

Postponing a visit to the doctor is not advisable: at early stages treatment is simpler, cheaper, and more effective. If the symptoms described concern you, the best course of action is an in-person examination with ultrasound diagnostics.

If you experience sudden pain, redness, and hardening along a vein, or sudden swelling of the entire leg — see a doctor immediately: this may be thrombosis.

How Varicose Vein Treatment Has Changed Over 10 Years

The main shift is the move from «open» surgery to thermal and chemical methods of closing the vein from within. Today the phlebologist has the following tools at their disposal:

  • Endovenous laser ablation (EVLA) — a laser fibre is inserted into the vein through a puncture and the vein is «sealed» with thermal energy. Hospitalisation is not required.
  • Radiofrequency ablation (RFA) — the principle is similar to EVLA, but radiofrequency energy is used; it is considered slightly gentler in terms of post-procedural discomfort.
  • Sclerotherapy — injection of a special agent that bonds the walls of the vein together. Particularly effective for small varicose veins and spider veins.
  • Miniphlebectomy — removal of tributary veins through tiny punctures without incisions, often combined with EVLA or RFA.
  • Classical phlebectomy — still used, but far less frequently, in advanced cases or when thermal methods are contraindicated.

The key advantage of modern methods is that the patient comes in the morning and is already home by evening. Rehabilitation has been reduced to a few days instead of weeks.

What Is Currently Available in Tashkent

The good news: equipment for EVLA and RFA has been available in Uzbekistan for some time — clinics have been using it for several years already. At M-Clinic, where I practice, every procedure begins with vein duplex ultrasound scanning. Ultrasound is a mandatory step: treatment cannot be undertaken without a «map» of the veins.

More details about specific procedures can be found on the EVLA and sclerotherapy pages. Indications and contraindications are listed there as well.

What Treatment Costs Are Made Of

The cost of varicose vein treatment in Uzbekistan depends on the method, the extent of the condition, and the level of the clinic. We deliberately do not publish one-size-fits-all sums: the real figure only appears after an ultrasound. The estimate is shaped by:

  • The method: a single sclerotherapy session and a «turnkey» EVLA are tasks of different scale
  • The extent: one vein or both legs, with or without tributaries and nodes
  • The «turnkey» scope: anaesthesia, consumables, follow-up ultrasound check-ups
  • The clinic and equipment level: original fibres and devices cost more

At comparable quality, treatment in Uzbekistan remains noticeably more affordable than in Russia or Europe. Your exact cost is fixed in a written estimate after the ultrasound — see how the estimate is formed and what «turnkey» includes on the pricing page.

What to Look for When Choosing a Clinic and Doctor

Over the years of my work I have formulated several simple criteria for patients:

  • Vein duplex ultrasound before any procedure — if a clinic offers to «close veins» straight away without ultrasound, that is a red flag.
  • Experience specifically in phlebology — vascular surgery and phlebology overlap, but they are different competencies.
  • The opportunity to ask questions — a good doctor will explain the treatment plan in plain language, without rushing.
  • Transparent pricing — find out in advance what is included in the cost: anaesthesia, compression stockings, follow-up vein duplex ultrasound.
  • Reviews and reputation — genuine patient reviews, ideally with before/after photos and clear personal accounts.

More about approaches to varicose vein treatment can be found in the corresponding section of the website.

Compression Stockings and Lifestyle — Equally Important

No method provides a lifelong guarantee if risk factors are not addressed. After treatment I recommend the following to my patients:

  • wear Class 2 compression stockings during the first weeks after the procedure
  • avoid prolonged standing or sitting without movement
  • perform simple exercises for the feet and lower legs
  • monitor body weight
  • if necessary — courses of venotonics as prescribed by the doctor

Varicose veins tend to recur, especially with a hereditary predisposition. A regular annual check-up is a good habit.

Book a Consultation

If you notice heaviness in your legs, visible veins, or swelling — do not put it off. At M-Clinic (Tashkent) I perform an examination and vein duplex ultrasound in a single visit so that we can immediately understand the full picture and propose an optimal plan.

Call or message us: +998 99 883-93-21. If needed, a home visit for an initial consultation is possible — please ask about this when booking.

Frequently Asked Questions

How does EVLA differ from RFA — which one to choose?

Both methods close the vein from within, but using different types of energy: laser (EVLA) or radiofrequency (RFA). In terms of effectiveness they are comparable. RFA often produces slightly less discomfort in the first days, while EVLA is more versatile with complex vein anatomy. I work with the laser: at the consultation I review the vein duplex ultrasound and tell you whether thermal closure suits you and to what extent.

Is it possible to treat varicose veins in summer?

Summer was once considered «off-season» because of the heat and the need to wear compression stockings. Today, with proper preparation and adherence to recommendations, procedures are performed year-round. The main points are to avoid prolonged sun exposure and to maintain adequate fluid intake during the rehabilitation period.

Will varicose veins return after treatment?

A closed vein does not recover — the result is permanent. However, varicose veins may develop in other veins, especially with a hereditary predisposition, prolonged standing, or excess weight. That is precisely why it is important to follow the doctor's recommendations after treatment and to have a follow-up vein duplex ultrasound once a year.

This article is for informational purposes only and does not replace a consultation with a qualified physician. If you are experiencing symptoms, please see a specialist.

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