Background: Varicose veins are a frequently encountered surgical problem in today’s practice. Ligation of the Sapheno-Femoral junction (SFJ) in Flush with the femoral vein after ligating and dividing the known and unknown tributaries is a time tested method of treating Sapheno-Femoral incompetence in primary varicose veins. Material and Methods: This study was conducted in Department of Anatomy. The duration of study was over a period of one and half year. On the basis of inclusion and exclusion criteria, total of 120 cases of SFJ incompetence were included in this study. Results: In our study we were included total 120 no. of participants. Among all, 93.4% were male rest were female. In the USG finding, 88.4% participants were showing SFJ below the pubic tubercle and in 11.6% participants was marked at the level with pubic tubercle. This study also showed that anatomical subtypes of SFJ which were found 93.4% subtype I, 5% subtypes H & rest Subtype S. In this study, nobody had postoperative complications and good cosmetic outcome. Conclusion: It can be concluded that thorough knowledge of all the anatomical variations of the SFJ is mandatory for efficient management of varicose vein and safety of SFJ