Dr. Balharry was in Vancouver on 29-30 April 2017, attending the Biannual Congress of the Canadian Society of Phlebology (veins). This conference was titled “Achieving Excellence through Innovation”. There were presentations from many international experts on the topic of vein disease from diagnosis to treatment. This was an excellent programme with lots of pearls taken from the meetings. Although Dr. Balharry has been treating varicose veins by injection and surgery for over 40 years, there are always new thoughts and techniques that allow even better outcomes.