Ambulatory phlebectomy is a minimally invasive procedure used to treat varicose veins caused by saphenous vein reflux disease. The procedure requires the removal of varicose veins through small, vertical incisions made above the diseased veins. During the procedure, a vein specialist uses a vein retractor or phlebectomy hook to catch, extract, and subsequently clamp the damaged vein. Once the vein has been extracted, the vein specialist will continue to pull it out until the varicose vein has been completely removed. This procedure is usually performed after supplemental endovenous laser and ablation procedures.