Objective To identify health management needs in patients with lower extremity varicose veins using patient journey mapping, and to provide references for implementing targeted interventions to promote whole-journey care quality. Methods A descriptive qualitative design was used. Semi-structured interviews were conducted with 15 postoperative patients during outpatient follow-ups to explore their experiences and needs throughout the health management process. Content analysis was utilized to analyze the data and develop a patient journey map. Results Across four clinical phases (pre-consultation, consultation, treatment, rehabi-litation), 30 themes emerged within three dimensions: behavioral, emotional, and touchpoints. A comprehensive health management journey map was constructed.Conclusion Patient journey mapping visually contextualizes stage-specific needs and touchpoints, enabling prioritized interventions to optimize integrated care.