Aim of Study: To evaluate and study the clinical presentation of varicocele and different modalities of treatment Study Design: Prospective observational study: Place and Duration: Two years study from October 2008 to September 2010, conducted in Department of Surgery at Peoples University of Medical and Health Sciences Hospital Nawabshah. Patients and Methods: The study comprises 50 patients, all were admitted from Surgical Outpatient Department (O.P.D) and patients of infertile couples were referred from Gynaecology O.P.D as a male infertility. The patients were fully evaluated after history, clinical examination and specific investigations, ultrasound of abdomen, Doppler & Duplex scan of testis, semen analysis, hormonal assay, MRI, testicular biopsy and general assessment. All Patients of varicocele included out of 50 patients 48 patients under went surgery. 1 Patients was treated by embolization technique and 1 patient was treated by sclerothropy due to unfit for anaesthesia. Result: In this study of there was total 50 patients of varicocele. age ranged between 16 to 65 years, Out of 50 patients 38 patients were presented with dragging sensation 9 patients were present heaviness and pain and 3 patients with testicular atrophy and infertile, on the basis of semen analysis, hormonal assay and testicular biopsy. 39 patients were operated through inguinal approach,6 patients were operated through retroperitoneal approach, 3 patients were operated by laparoscopic procedure, 1 patient was treated by sclerotherapy due to unfit for anesthesia. Conclusion: Varicocele is more commonly seen in young male speciality in second to third decade of life. Young male commonly present with left varicocele and dragging sensation. Patients can be treated through inguinal approach, retroperitoneal approach, minimal invasive procedure like laparoscopic technique and embolization or sclerotherapy.