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A man in his late 70s presented with venostatic symptoms and bilateral varicose veins due to bilateral saphenofemoral junction incompetence. Systemic examination revealed a left inframammary swelling that increased in size on inspiration and decreased on expiration and was linked to an old chest wall trauma. Imaging identified a giant intercostal lung herniation through the fractured ribs, which was managed conservatively three decades ago. As he presently remains asymptomatic for the lung herniation, he decided to continue with the conservative management. The varicose veins were treated with endothermal ablation, allowing him to resume routine activities.