I just had mine done in early December, with Dr. Keith Sterling at INOVA/Alexandria Radiology. He's fantastic; everyone there is highly professional. I had ablation (laser) and a microphlebectomy (removal of veins). THe procedure took about 90 mins. I was awake, though with valium. Walking around that afternoon, some pain the next few days but otherwise able to resume normal activity immediately (except P90X; had to wait 5-6 weeks to resume that). Some pain, but totally manageable with ibuprofen. Back at work after the weekend was over. Results have been great. Highly recommend it. Carefirst paid for it 100%