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Background: The overall goal of this report is to provide a high-level, practical approach to managing venous outflow obstruction (VOO). Methods: A group of vascular surgeons from Australia and New Zealand with specific interest, training, and experience in the management of VOO were surveyed to assess current local practices. The results were analyzed and areas of disagreement identified. After this, the group performed a literature review of consensus guidelines published by leading international organizations focused on the management of chronic venous disease, namely, the Society for Vascular Surgery, American Venous Forum, European Society for Vascular Surgery, American Vein and Lymphatic Society, Cardiovascular and Interventional Radiology Society of Europe, and American Heart Association. These guidelines were compared against the consensus statements obtained through the surveys to determine how they relate to Australian and New Zealand practice. In addition, selected key studi

New zealandUnited statesAmerican heart associationAmerican venous forumSociety for vascular surgeryEuropean society for vascular surgeryLymphatic societyInterventional radiology society of europeVascular surgeryEuropean societyAmerican veinInterventional radiology societyAmerican heartVenous clinical severity scoreIliac veinMay thurner syndrome