Chronic venous insufficiency (CVI) is one of the most common disease affecting Western societies. Risk factors for CVI include gender, advanced age, number of pregnancies, family history, obesity, history of deep-vein thrombosis, exogenous hormone use, occupations that require a lot of standing. Chronic venous insufficiency and its clinical manifestations results from venous hypertension in the lower extremities. The most common manifestation of chronic venous insufficiency are dilated cutaneous veins, such as telangiectases and reticular veins, and varicose veins. This article reviews the clinical aspect of CVI with a focus on the connection with gynecology.