Abstract: A method is disclosed for improved minimally invasive vascular treatment. The procedure consists in performing a femoral nerve block, in order to achieve a sensorial block but not a motor block in the lower extremity. A femoral nerve block carries low risk of complications and when combined with block of the sciatic nerve provides anesthesia of almost the entire lower extremity. In a preferred embodiment, 20 ml of about 0.1% to about 0.5% lidocaine are injected under echographic/ultrasound control. After the anesthesia takes effect, a needle or other means is inserted through the skin into the vein to be treated and an optical fiber is introduced inside it. In a preferred embodiment, optical fiber is a radial emitting fiber and wavelength used is 1470 nm. Laser radiation is emitted while withdrawing the optical fiber, choosing appropriate irradiation parameters for each case.