<s>[INST] I am having swelling in my feet and ankle saw a doc he says I have lymphedema I have had no cancer or surgery. then saw a surgeon he said it was Leaky varicose vein and need surgery. I have not had a physical done yet to see if my kidney, liver and heart is ok. what do u suggest me to do. [/INST] Lymphedema and varicose veins have similar symptoms such as lower extremity swelling. Varicose veins will cause dermatitis and usually manifest on inside your ankle joint. If you're in pain and the swelling is out of control I would agree with your vascular doctor but if your not in pain and the swelling is mild I would recommend over the count compression stockings as long as you don't have any heart or liver problems. Regarding getting a physical exam once every year is not a bad idea so if you haven't had a physical exam yet, that would not be a bad place to start. </s>