X0303 4 2010-03-05 0000203527 VARIAN MEDICAL SYSTEMS INC VAR 0001217439 FINNEY ELISHA W C/O VARIAN MEDICAL SYSTEMS 3100 HANSEN WAY, , MAIL STOP E-327 PALO ALTO CA 94304-1030 1 SVP, Finance and CFO Common Stock 2010-03-05 4 M 0 5000 24.375 A 46282 D Common Stock 2010-03-05 4 S 0 2502 51.4467 D 43780 D Common Stock 2010-03-05 4 S 0 2498 51.8951 D 41282 D Common Stock 31371 I By Trust Non-qualified Stock Option (Right to Buy) 24.375 2010-03-05 4 M 0 5000 0 D 2012-11-14 Common Stock 5000 48000 D This transaction is pursuant to the filer's SEC Rule10b5-1 Stock Plan The 2,502 shares were sold in multiple transactions executed on the same day at prices ranging from $50.70 to $51.69. The detailed breakdown of executed sales will be furnished upon request. The 2,498 shares were sold in multiple transactions executed on the same day at prices ranging from $51.803 to $52.140. The detailed breakdown of executed sales will be furnished upon request. Stock option granted under the Varian Medical Systems, Inc. 1990 Omnibus Stock Plan, which complies with new Rule 16b-3. The option vests as follows: one third on 11/14/03, and the remaining shares in 24 equal installments over the 24 months following the first vesting date. /s/ John A. Thorson, Attorney in Fact for Elisha W. Finney 2010-03-08