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In august 2003 the Italian College of Phlebology (ICF) published the Guidelines for the Management of Venous Diseases. In this document Chiva is recommended as one of the possible strategies for Shunt I correction, while Chiva 2 is recommended for Shunt III two steps therapy. Note the properly used shunt classification! However both recommendations have been assigned a C level of evidence. Besides, on November 2003, during the last Congress of ICF, the greater part of papers involving venous diseases were dealing with Chiva, so testifying that Chiva knowledge in Italy grows continuously and that nowadays this technique is generally accepted in the everyday surgical practice. And in these last years, Italy and Spain share the role of countries where the anatomical, haemodynamic and surgical research in Chiva treatment has reached a great level of evidence. Italy is also the second cradle of Chiva, i.e. excluding France, Italy is the country where this technique has first gained a good level of practice. Furthermore most important topics of Chiva were born in Italy, where they encountered a strong initial opposition. Italy is also practically the only country in the world where there is an active research in computer management of cartographic data and in the theory of vascular nets. Finally, don't forget to join the VIII RÉUNION DE L'ASSOCIATION EUROPÉENNE DE CHIVA which will take place in Italy from 21 to 22 october 2004.