Purpose: The long saphenous vein is frequently used in coronary artery bypass grafting (CABG). Traditionally harvested using open vein harvesting (OVH), this method commonly leads to wound complications. Endoscopic vein harvesting (EVH) offers a minimally invasive alternative but typically requires dedicated assistants trained in EVH. This study aims to compare the long-term patient-reported outcomes of EVH without specialised assistants versus OVH to evaluate the impact of these methods on overall CABG outcomes and leg wound recovery. Methodology: A total of 58 patients who underwent CABG in the past 24 months were included and divided into two propensity-matched groups: 29 EVH and 29 OVH. Data were collected on overall CABG outcomes, community care needs, antibiotic prescriptions, leg wound pain severity, pain resolution and healing, as well as time to return to baseline walking using a detailed questionnaire. Statistical analysis was conducted to compare outcomes. Results: Both groups showed positive overall outcomes, with no patients requiring further revascularisation. OVH patients required more visits to general partitioners (p<0.01) and were more likely to be prescribed antibiotics for their leg wounds (p<0.01). EVH patients reported significantly lower leg wound pain (p<0.0001), and experienced faster pain resolution and wound healing compared to OVH patients (p<0.0001). There was no significant difference in the time taken to return to baseline walking. Conclusion: EVH, even when performed without dedicated assistants, is a superior technique compared to OVH. While graft patency at 24 months post-CABG did not differ, OVH patients experienced significantly higher rates of community care needs, antibiotic usage, severe and prolonged leg pain, and extended leg wound healing times. These findings suggest that EVH can be implemented in small cardiothoracic units without dedicated surgical assistants, offering better outcomes without compromising graft patency.