“…Although their study was a randomized controlled trial to assess QOL after stenting, our series also found significant improvement after surgical anteriorization of the LIV. 9 The patients in our series had significantly decreased QOL due to venous outflow disease that improved dramatically by 3 months postoperatively. There is literature on iliac vein bypass related to the treatment of LIV compression; however, those studies are limited to reports of stent failure and case reports.…”