While a primary care physician is a good source of information and should always be consulted, there are just some services they may not provide and elective treatment of varicose veins is often one of these things. Although they may help treat the cause to ensure there are no existing medical conditions and to help prevent future development, they generally do not remove them. However, a spider veins doctor can. These types of physicians are generally dermatologists or specialize in some type of cosmetic procedures. They may work in a stand alone clinic, a cosmetic practice or even at a medical spa. These physicians may offer a variety of procedures, invasive and non-invasive to help rid the patient of this cosmetic concern. Although they may offer several options, the main two consists of sclerotherapy and various laser procedures provided on an outpatient basis.