If a doctor recommends VenaSeal is mainly because patient presents venous reflux disease confirmed by ultrasound reflux study. Patient may also present varicose veins, swelling, cramping, heaviness, open skin sores etc. Patient should ask the doctor to compare between VenaSeal closure system which is an innovative treatment option and the thermal energy more traditional treatment options. Also patient should ask about what to expect of Venaseal procedure before, during and after the procedure. Venaseal might not be right for everyone, patient should ask about contraindications, and potential risks so your doctor can help you understand them. Insurance coverage is also an important topic to discuss. Best,