Purposes: Find out advantages & Efficacy of EVLA Versus Conventional Stripping in treatment Of Great Saphenous Vein Reflux. Background: Varicose veins treatment places a considerable strain on the medical system, with long waiting time for operation in the public hospital system. EVLA allows efficient treatment of many patients on out-patient basis. Patients and methods: This prospective study included 44 patients; with primary varicose veins; Patients were randomly allocated into two groups according to the intervention performed; Group A: Conventional surgical stripping of great saphenous vein (N=22 (50%)), Group B: Endovenous Laser Ablation (N=22 (50%)). All patients underwent clinical evaluation, routine hematological tests, Venous duplex of both lower limbs. Follow-up period was for 6-monthes Results: There were satisfactory results in EVLA group (B); about 20 cases (90.8%) of this group were done under tumescent anesthesia with Less mean post-operative (PO) time; 69.1±3; Less PO pain rate; (4.05±1.23); Less 1-week complications limited to Bruising & Ecchymosis in 5 cases (23.8%), Superficial phlebitis in 3 cases (14.28%), DVT in 2 cases (9.52%) or Skin burn in 1 case (4.76%); Rapid return to normal activity (5.8±1.5) and Overall result were better in group (B); 19 (90.47%) than in group (B); 14 (66.66%) with P-Value; 0.001. Conclusions: Endovenous Laser Ablation (EVLA) of GSV being simple to perform and well accepted by patients; is a safe and effective method with low rate of complications, one day hospitalization, short recovery time and quick return to professional activities; For these reasons; this method is considered a very promising techniques especially in female patients for cosmetic reason as compared to surgical stripping.