Thoracic endovascular aortic repair (TEVAR) has made a significant contribution to the treatment of aortic dissection. Comprehensive management of aortic surgery, including lifesaving and prevention of aortic complications, is more important than ever in Japan, where the population is aging, through the successful use of TEVAR in combination with conservative treatment and open repair. The evolution of new technologies, such as bifurcated stent grafts, is expected to lead to more advanced treatment.