Radiofrequency ablation (RFA) of great saphenous vein (GSV) has been found to have excellent results to conventional saphenofemoral junction ligation and segmental stripping in terms of long term disease free state. RFA works by causing target tissue destruction by causing tissue necrosis by heating of the targeted tissue via the RFA probe. RFA is done with catheter pull back technique with heating segment slightly longer than the pull back distance ensuring adequate overlapping. This is started about 2cm distal to saphenofemoral junction in the groin to the level usually just below knee. This procedure which has just started in Nepal since August 2013 in the tertiary level hospital, has already attained some popularity due to prompt recovery, less pain, less hospital admission days than conventional surgical procedure.