Hi Userhere, one of my legs looks pretty similar to yours. The GP told me the NHS no longer treat varicose veins in this area unless there are ulcers. I went to a free talk at the private hospital (Nuffield group) and there were three or four different options for removal. I then followed through with a leg scan and assessment (cost about £350). I had ages with the consultant who talked me through all of the scan as he was doing it. Apparently although there is bulging all over my leg it comes from just one point nearly in the groin area where the valve doesnt function any more. VVs were assessed as medium severity and not likely to lead to ulcers unless I get some other condition restricting my movement. If I wanted them removed it would take a couple of hours with EVLA where the vein is destroyed with a laser. Then wearing a compression stocking for a week or so. Possibly I might need follow up with foam, but not always. £4,000 if I needed follow up as well. I decided not to go ahead.