The primary function of the external iliac vein is to collect and carry deoxygenated blood from the leg and pelvic region back to the heart, thereby playing a critical role in maintaining venous return and ensuring efficient circulation. The blood it carries is relatively low in oxygen due to the metabolic activities of the lower limbs. The proper functioning of the external iliac vein is essential for effective energy delivery and waste removal from the muscle tissues. Additionally, it aids in regulating blood flow and pressure in the lower body, especially during physical activities such as walking or running. If the external iliac vein is compromised due to injury or disease, it can lead to complications such as thrombosis, where a blood clot can form, potentially causing swelling and pain in the affected area, and adversely impacting overall circulatory efficiency.