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The study was aimed to assess the effect of varicosity and pregnancy on the blood flow parameters in 22 cranial tibial veins of 17 buffaloes using B-mode and Doppler ultrasonography. Out of these, five buffaloes were suffering from unilateral hind limb varicosity and 12 were clinically healthy non-pregnant (n=6) or in advanced stages of pregnancy (n=6). The study highlights a significant increase in the Doppler blood flow parameters of varicosity affected veins in comparison to clinically healthy cranial tibial veins, with highest percentage change in volume flow/minute. A significant lower vessel diameter and end diastole velocity of the cranial tibial vein was also recorded in healthy advanced pregnant compared to that of healthy non-pregnant buffaloes.