Professor Toby Richards is a Consultant Vascular and Endovascular Surgeon with extensive expertise in the diagnosis and management of arterial and venous disease.
His clinical practice combines advanced surgical techniques with minimally invasive endovascular procedures, offering patients comprehensive, evidence-based vascular care in the heart of London’s medical district.
At 101 Harley Street, Professor Richards provides specialist assessment and treatment for a wide range of vascular conditions, delivering care that is precise, personalised and guided by the latest clinical research.
Vascular conditions can range from cosmetic concerns, such as prominent varicose veins, to more serious circulatory disorders affecting mobility and cardiovascular health. Professor Richards takes a consultation-led approach, ensuring patients fully understand:
The underlying cause of their symptoms
The available medical, minimally invasive and surgical options
Expected outcomes and recovery timelines
Potential risks and long-term considerations
Where appropriate, treatment may be performed using minimally invasive endovascular techniques, reducing downtime while maintaining high clinical standards of safety and precision.
All procedures are delivered within a regulated clinical environment, with access to operating theatre facilities and post-procedure support as required.


Professor Toby Richards specialises in the diagnosis and treatment of arterial and venous conditions, including varicose veins, venous reflux, peripheral arterial disease, carotid artery disease and complex vascular disorders. His approach combines detailed assessment with both minimally invasive and surgical treatment options where appropriate.
Yes. Professor Toby Richards is highly experienced in endovascular (minimally invasive) vascular procedures. These advanced techniques allow certain conditions to be treated through small incisions using image-guided technology, often reducing recovery time compared to traditional open surgery.
During your consultation with Professor Toby Richards, you will undergo a comprehensive clinical assessment, including a detailed medical history and examination. Where indicated, duplex ultrasound imaging may be performed to accurately diagnose the underlying vascular condition and guide a personalised treatment plan.
You should consider booking a consultation with Professor Toby Richards if you experience symptoms such as leg heaviness, swelling, visible bulging veins, pain when walking, or skin changes around the ankles. Early assessment can help prevent progression and ensure the most appropriate treatment is offered.