AbstractThe most common cause of lower extremity ulcers is by far venous problems that result in a persistent rise in venous pressure. Venous ulceration, which accounts for 80% of lower extremity ulcerations, is the most severe and disabling consequence of chronic venous insufficiency in the lower limbs. Due to the return of varicosities and the patient's non-compliance with the treatment, venous ulcers frequently recur. Patients who are congenitally deaf or dumb and scheduled for plastic surgery are cases that call for extra consideration and care. The level of preoperative training that is necessary can be determined by conducting a preoperative assessment of the patient's communication skills, educational background, and fundamental comprehension capacity. In order to develop successful communication between the patient and the healthcare professional, it may be helpful to hire a sign language or communication specialist. The healing process can be sped up by early mobilisation, careful use of sedatives and analgesics in the postoperative phase, and allowing a family member to visit and converse with the patient. This case study describes the treatment of a patient who is deaf and dumb and is having surgery for venous insufficiency.