Since 2000, according to the recognition of varicose vein as a disease, the number of patients was increased by about three-times and the number of surgery gradually increases annually. Accordingly, financial expenses of medical insur-ance have become excessive and rising medical costs have been a problem. Eventually, HIRA (Health Insurance Review & Assessment service) evaluates the adequacy of surgery and imposes some restriction. The operator must check the venous-reflux of varicose vein by Duplex ultrasonography. Above all, classification of operation title must be made in detail and the criteria of adequacy also must be reviewed for appropriate compensation of varicose vein surgery. (Korean J Phlebology 2014;13:1-4)

Keywords: Varicose vein, Medical insurance fee, Saphenous vein