Endovenous modalities to treat superficial venous reflux of the lower extremities have revolutionized management of patients with varicose veins. Laser and radiofrequency probes have both found their way into the arsenal of physicians treating venous reflux. Although both offer distinct advantages and minor drawbacks, they each offer the convenience of in-office treatment, faster recovery, and improved safety over traditional surgical procedures. This article will briefly discuss the technique, treatment results, and potential complications associated with each procedure.