History: This patient presented with skin thickening, pain and cellulitis with edema and ulceration.

Problem: Incompetent subfascial perforator veins causing superficial venous hypertension.

Treatment: Subfascial Endoscopic Perforator Surgery.

Comment: This case illustrates the resolution of both the cellulitis and the edema associated with superficial venous hypertension. The reduction in edema is often impressive.