In November 2017, a 69-year-old lady presented with two venous leg ulcers on her left leg, resistant to compression and conservative treatment for 5 years, presented. Duplex ultrasound showed normal deep veins, but venous reflux in the great saphenous vein and perforators. After one of the authors attended a specialist vein clinic in the UK, the patient underwent staged endovenous treatment, following The Whiteley Protocol®. Endovenous laser alone (stage 1) resulted in an improvement that stabilised but did not heal the ulcer. Ultrasound guided foam sclerotherapy to the “stasis” veins in the ulcer bed (stage 2) resulted in a cure.