BACKGROUND. Ambulatory phlebectomy is an accepted therapy for varicose veins of the ankle and foot region. Although most phlebologists regard this therapy highly, little is known about patient satisfaction. OBJECTIVE. To investigate patient satisfaction and complaints as reported by the patient after ambulatory phlebectomy for varicose veins in the ankle and foot region. METHODS. A questionnaire was taken from patients who received ambulatory phlebectomy for varicose veins of the ankle and foot region between 1996 and 2000. RESULTS. According to the results of the questionnaire, 50% of the patient population was not completely satisfied, mostly because of persisting pain, reported discoloration, and perceived recurrence. CONCLUSION. The most important factors that influence patient satisfaction are discoloration, persistent pain, and the perception of varices after surgery. To avoid misunderstandings and/or disappointments, attention should be given to patient information before and after surgery.