A prospective study of 50 cases of pelvic varices is described. Clinical history, symptoms and signs are shown emphasizing the multiple pregnancies that enlarge the gonadal veins where a high pressure escape and retrograde flow explain the vulvar and inner and posterior thigh and leg varicosities. A surgical procedure comprising resection of the gonadal veins and ligation of communicating veins to the uterine veins combined with vulvar and leg varicectomy have given excellent and encouraging early results.