Relevance. Despite recent advances in phlebology concerning diagnostics, indications and types of treatment of varicose disease of the lower extremities, varicose disease of the lower extremities is one of the most widespread diseases and is the most common disease of the peripheral vascular bed. In Russia, according to V.S. Saveleva et al. More than 30 million people suffer from various forms of varicose veins, and 15% of them have trophic disorders. In recent decades, a large number of new types of treatment for varicose disease of the lower limbs have appeared, but many of them have drawbacks. Purpose of the study. To improve the results of surgical treatment of patients with varicose veins of the lower extremities through the introduction of minimally invasive interventions. Materials and methods of research. In the surgical department of the SamSMI clinic, 186 patients were subjected to surgical treatment for the period 2011 to 2014. In addition to conventional methods of examination, ultrasound scanning of the superficial and deep venous system was performed without fail. In accordance with the scope and nature of surgical interventions, patients were divided into two groups. The first group includes 117 patients, and the second 69 patients with varicose veins of the lower extremities aged 22 to 54 years. Operative treatment in the first group was performed using the principles of mini-invasive phlebosurgery. To eliminate the wellhead failure, a crossectomy was performed. Through the mini-access, the mouth of the large saphenous vein was exposed with the phlebector to the lower third of the shin and performed the operation by Bebkokk with simultaneous elastic compression. In the presence of perforated insufficiency, the operation of the Cocktail through the mini-access was performed. The operation was completed with cosmetic sutures for all wounds. After 2 - 3 days for the remaining varicose veins carried out 1 -2 sessions of sclerotherapy. All patients of the second group underwent surgical treatment with traditional methods, which included revision of the sapheno-femoral anastomosis, crossectomy, removal of the large saphenous vein, dressing and intersection of the perforating veins. Results. The total number of patients who experienced complications in the early postoperative period was 1.7% in the first group and 10.1% in the second group. In the first group, complications such as paresthesia were observed, and complications such as hematoma and lymphorrhea were observed in the second group. The analysis of pain sensitivity allows us to conclude that the use of minimally invasive techniques in patients of Group 1 reliably reduces pain in the early postoperative period. Moreover, a decrease in the trauma of the intervention as a whole has a favorable effect on the patient's perception of the pain, leading to a decrease in the severity of the pain. Two weeks after surgery, the pain was not disturbed by 98.3% of patients in group 1 and only 30.4% of patients in group 2. In the long term after the operation neurological complications in the form of paresthesias were preserved, which were observed in 17 cases in the 2nd group (24.6%). Within three months of isolated crossectomy, 3 patients of the 2 groups developed varicose veins of previously unchanged veins, which was successfully eliminated by sclerotherapy. When comparing the cosmetic result after surgery, the best results were observed in the first group, which was expressed in fewer sections. Comparative evaluation of treatment results shows that surgical treatment with traditional methods is more traumatic and more complications. Conclusions. The use of minimally invasive methods of surgical treatment of patients with varicose veins is favorably characterized by low traumatic, cosmetic, radical and economic benefits.