Venous ultrasound (VUS) is a valuable tool for the assessment of lower limb venous disease. It can be used to both diagnose and guide treatment. Venous U/S has been valuable in assessing patients with chronic venous insufficiency (CVI) where clinical examination alone has led to conflicting results, especially in cases of superficial thrombophlebitis or isolated calf vein reflux. Venous U/S enables the identification of incompetent valves, deep venous reflux and venous ectasia. Venography remains the gold standard method for evaluating the more proximal veins of the lower limb, but Venous U/S can be used as an alternative in selected cases, particularly when there are contraindications to venographic techniques. Venous U/S has been widely reported in the literature and has emerged as a valuable non-invasive tool for use in patients with venous disease. Venous ultrasound (VUS) is a valuable tool for assessing lower limb venous disease. VUS can be used both to diagnose and guide treatment of Venous Disease Venography remains the gold standard test, but Venous U/S can be used as an alternative when there are contraindications to Venography . Venous U/S has been widely reported and can serve as a non-invasive method for diagnosing lower limb veins. Venous U/S is a valuable tool for assessing the lower limb venous disease, and Venous U/S can be used to both diagnose and guide treatment. Venography remains the gold standard test for evaluating more proximal veins of the lower limb, but Venous U/S can be used as an alternative in selected cases when there are contraindications to Venography. Venous U/S has been widely reported and serves as a non-invasive method for diagnosing lower limb veins. Venous U/S has been widely reported and Venous U/S can serve as a non-invasive method for diagnosing lower limb veins. Venous ultrasound (VUS) is a valuable tool for the assessment of lower limb venous disease, and Venous VUS can be used to both diagnose and guide treatment of Venous Disease Venography remains the gold standard test, but Venous U/S can be used as an alternative when there are contraindications to Venography.