After having years of discomfort I finally made an appointment with Dr. Wessels. All I can say I wish I had gone years before. The first visit I had the rubber band ligation. There was no pain whatsoever during or after the procedure. My second visit was also pain free with the Injection Sclerotherapy. I highly recommend Dr. Wessels and Staff. Dr. Wessels said I was free and only return should I have any problemsI I am very happy with results.