The field of vascular surgery has undergone significant changes recently. Beginning with the development of less invasive techniques to manage general surgical pathology, such as laproscopic procedures, there has been a paradigm shift in the type of techniques that are available to treat patients. Historically, vascular surgery patients have been successfully treated with open surgical procedures in the majority of cases. Technology has allowed for the advent of change. In addition, the desire of patients to be treated with less invasive methods of management has pushed this technology as well as the clinical pattern of treatment.