This comparative study compared endovenous laser ablation (EVLA) and Venous stripping (anterograde and retrograde methods) for the treatment of varicose veins in a tertiary care hospital. Objective: Endovascular laser ablation (EVLA) is a minimally invasive procedure performed in the OPD or as a day care procedure with minimal blood loss and minimal invasion. The aim of this comparative study is to establish whether these technically improved outcomes are better than traditional venous stripping (anterograde and retrograde methods). Methods: Duration - 1 year (January 2023 to January 2024). Centre - Srinivas Institute of Medical Science & Research Centre, Mukka, Mangalore, Karnataka, India. Study Population: Patients presenting with varicose veins to General Surgery/ CTVS OPD. Study Design: Prospective study. This study compared postoperative patient comfort and the surgical outcome of endovenous laser ablation (EVLA) and high ligation venous stripping (Trendelenburg operation). Results: EVLA was found to be cost effective, OPD procedure. In our study, as compared between EVLA and venous stripping, study shows that EVLA is safer with minimal complications, early recovery, no recurrence and economically feasible. Conclusion: The findings of this study support the efficacy and safety of endovenous laser ablation (EVLA) as a superior alternative to high ligation venous stripping (Trendelenburg operation) for the treatment of varicose veins. These results advocate for the wider adoption of EVLA as the preferred treatment modality for varicose veins.