The representative conservative modality for venous insufficiency in lower extremities is the application of elastic compression stockings. Typically, wearing these stockings is used as an alternative treatment to surgery or interventions, or after surgery and/ or interventions. The effective and efficient outcomes would be anticipated when the patient wear elastic compression stockings in a proper way for the optimal purpose. Despite the controversy surrounding the use of compression stockings, several major academic societies and experts around the world have published guidelines and evidence on the indications and effectiveness of this method. Recent guidelines and research findings were reviewed and appropriate applications for wearing compression stockings were considered.