Do varicose veins ultimately require surgery?

My mother has spent her entire life moving a lot and doing a lot of walking on her legs.

I think I always used to say that my legs hurt even when I was young.

It's still the same now.

Her legs are also thin, and she doesn't have much muscle... at the back of the leg joint where it bends.

If you have varicose veins, the veins tend to protrude.

That's how it was.

I knew it was varicose veins, and of course, you are still moving your body a lot now.

Your leg also hurts...

If you have varicose veins and continue to use your legs extensively... will you eventually need surgery?

I'm wondering if there's any way to improve this situation now through medication or other procedures.