X0303 4 2008-10-01 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 2008-10-01 4 M 0 10000 24.375 A 43940 D Common Stock 2008-10-01 4 S 0 1000 56.55 D 42940 D Common Stock 2008-10-01 4 S 0 1000 57.50 D 41940 D Common Stock 2008-10-01 4 S 0 1000 57.53 D 40940 D Common Stock 2008-10-01 4 S 0 400 57.92 D 40540 D Common Stock 2008-10-01 4 S 0 100 57.9202 D 40440 D Common Stock 2008-10-01 4 S 0 4000 58.00 D 36440 D Common Stock 2008-10-01 4 S 0 500 58.165 D 35940 D Common Stock 2008-10-01 4 S 0 500 58.17 D 35440 D Common Stock 2008-10-01 4 S 0 1500 58.20 D 33940 D Common Stock 31371 I By Trust Non-qualified Stock Option (Right to Buy) 24.375 2008-10-01 4 M 0 10000 0 D 2012-11-14 Common Stock 10000 68000 D This transaction is pursuant to the filer's SEC Rule10b5-1 Stock Plan Amount of securities beneficially owned at the end of the reporting period reflect 311 shares purchased on September 26, 2008 under the Varian Medical Systems, Inc. Employee Stock Purchase Plan. 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/ Franco N. Palomba, Attorney in Fact for Elisha W. Finney 2008-10-03