Improved technology has made the technique of video angioscopy available. This technique, when routinely applied, can provide a wealth of important information to the vascular surgeon. The long term benefits will include improvement of surgical techniques and the potential to simplify and lower the cost of vascular surgery. The angioscope has emerged as a potentially powerful tool for today's vascular surgical team. Nurses need to be aware of this procedure so that they can provide quality care for these patients.