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Introduction: During the XX Century, the surgical treatment of the superficial and/or perforating venous insufficiency of the lower limbs has been based on a resective and venous stripping concept with limited results and high levels of recurrence to 5 years follow up. Objective: To present a new minimally invasive surgical procedure called AF Repairing for the treatment of the venous insufficiency of the lower limbs and to evaluate its long term results.