Venous Ligation (AASV & SSV) in Toronto

Advanced Treatment for Varicose Veins by a Leading Vascular Surgeon

If you are struggling with varicose veins or chronic venous insufficiency, venous ligation of the anterior accessory saphenous vein (AASV) or the small saphenous vein (SSV) may be the ideal treatment option. At our Toronto vascular surgery clinic, we provide expert care using the latest surgical techniques to restore vein function and improve quality of life.

What Is Venous Ligation?

Venous ligation is a minor surgical procedure that involves tying off (ligating) a problematic vein to stop the backward flow of blood (reflux) and redirect circulation through healthy veins. This treatment is particularly effective for superficial venous reflux in the AASV and SSV, which are common contributors to visible varicose veins and leg discomfort.

Why You Might Need AASV or SSV Ligation

The anterior accessory saphenous vein (AASV) and small saphenous vein (SSV) are superficial veins that, when diseased, can cause:

• Visible varicose veins

• Leg pain or heaviness

• Swelling

• Skin discoloration

• Ulceration (in advanced cases)

Ligation prevents further complications and alleviates symptoms by stopping the abnormal blood flow in these veins.

Benefits of Venous Ligation

• Minimally invasive with small incisions

• Performed under local or general anesthesia

• Effective symptom relief

• Long-term improvement in venous circulation

• Low recurrence rates when combined with other treatments

Our Toronto vascular surgeon will conduct a thorough duplex ultrasound assessment to determine if AASV or SSV ligation is appropriate for your condition.

AASV vs. SSV Ligation: What’s the Difference?

• AASV Ligation targets the anterior accessory vein, located close to the great saphenous vein (GSV) in the thigh.

• SSV Ligation addresses reflux in the small saphenous vein, which runs along the back of the lower leg.

Both procedures aim to correct faulty venous valves and eliminate pressure buildup that leads to vein enlargement and discomfort.

What to Expect from the Procedure

1. Initial Consultation & Ultrasound Mapping
   We assess your vein health using advanced ultrasound imaging.

2. Outpatient Surgery
   Venous ligation is typically performed in a day-surgery setting with minimal downtime.

3. Recovery
   Most patients return to normal activities within a few days, with minor bruising or discomfort.

4. Follow-Up
   Regular follow-ups ensure optimal healing and monitor for any recurrence.

Comprehensive Vein Care in Toronto

We don’t just treat symptoms — we provide comprehensive, personalized vein care. Our clinic offers a full spectrum of treatments, including:

• Endovenous laser therapy (EVLT)

• Sclerotherapy

• Phlebectomy

• Compression therapy

• Lifestyle counseling for long-term vascular health

Why Choose York Vascular? 

Led by Dr Lukasz Boba, York Vascular offers the best customized advanced comprehensive care for treatment of varicose veins and spider veins. With convenient locations in Newmarket, Markham, and Thornhill, we are committed to providing accessible, high-quality vascular care.

Please ask your Primary Care Provider to fax a referral to our office. Once we receive your referral, we will contact you within 14 business days to set up an appointment.