These debilitating wounds develop from long‐standing venous hypertension or impaired venous drainage. Too much pressure in the veins damages the skin and underlying soft tissue. Often venous ulcers persist for months or even years. They are unsightly, messy, embarrassing, and can greatly interfere with daily activities. Treatment must include both good wound care and elimination of the excessive pressure in the skin caused by bad veins. Sometimes people languish with wound care, which even in the best of hands is not sufficient to heal these ulcers and keep them healed. Patients with venous ulcers need to have a thorough vascular evaluation and most often need treatment targeting the veins that lead directly to the ulcer. The wound will heal once the offending veins have been shut down.