Spider veins can’t be removed with surgery. Instead, physicians use sclerotherapy or laser therapy. Sometimes, they use both options if the veins being treated are medium to large in size. Treating varicose veins can also make spider veins disappear, but not always.

You may be wondering if the treatment of spider veins is covered by health insurance. For the most part, it's considered a cosmetic procedure and isn’t covered by insurance. So make sure you discuss any insurance concerns with your physician before undergoing treatment.

Laser therapy and sclerotherapy usually treat spider veins successfully. Still, it's possible, though unlikely, that the treated veins will reappear. It's also possible that new spider veins will develop.

If you have varicose veins as well as spider veins, treating only the spider veins probably won’t be effective. That’s because varicose veins often lead to the return of spider veins.