Because surgery is performed under anesthesia, you will not feel pain during the procedure. After the anesthesia wears off, you will likely experience pain near the incisions. For sclerotherapy, the degree of pain will also depend on the size of the needle used and which solution is injected. Most people find hypertonic saline to be the most painful solution and experience a burning and cramping sensation for several minutes when it is injected. Some doctors mix a mild local anesthetic in with the saline solution to minimize the pain.
Doctors providing surgical treatment include general and vascular surgeons.
Sclerotherapy is often performed by dermatologists. Some general, vascular, and plastic surgeons also perform sclerotherapy treatments. You may want to consult more than one doctor before deciding on a method of treatment. Be sure to ask doctors about their experience in performing the procedure you want. Carefully question doctors about the safety and side effects for each type of treatment.