Varicose veins and their associated symptoms and complications constitute the most common chronic vascular disorders leading to surgical treatment. The term varicosity is generally applied to elongated, tortuous, pouched, thickened, inelastic and friable vessels which have permanently lost its vascular efficiency. This variation in the definition of varicose veins has led to wide discrepancies in its incidence reported in the literature. From the reported literate findings the current study was planned to study the different clinical presentations of varicose veins and find out the incompetence in lower limb varicose veins. The current study was planned on the patients with varicose veins of lower limb who had attended Vardhman Institute of Medical sciences, Pawapuri in surgery department From Feb 2018 to July 2018. Diagnosis was further confirmed with Duplex ultrasonography. After a through history taking, 25 patients were included in this study. The patients underwent routine investigations. A treatment course was decided for the patients depending on their clinical and investigational profile. The data generated from the present study concludes that most of the patient came to the hospital because of pain and other complications, rather than cosmetic purpose. The patients were in the occupation which required standing for long time had the higher of varicose vein. Severity of the symptoms is not proportional to the duration of varicose veins. The involvement of long saphenous vein is more common than the short saphenous vein. Majority of the patients had long saphenous vein involvement and had perforator incompetence indicating advanced hemodynamic malfunctions. Clinical examination or assessment was almost confirmative in diagnosis of the disease.