Varicose veins and venous insufficiency are common, with varying prevalence rates. Chronic venous insufficiency can cause eczema, edema, hyperpigmentation, and scarring, with more severe cases resulting in venous stasis ulcers, causing significant morbidity. Successful treatment of venous insufficiency depends on an adequate diagnostic evaluation and appropriate selection of treatment. Therefore, we ought to present a simplified approach for the assessment and documentation of Doppler venous ultrasound findings which are clinically important for the management.