This book is intended to provide a detailed account of the technical aspects of present day arterial surgery. It is hoped that the book will be more than just a manual of operative procedures and that it will provide the reader with an overall strategic plan when faced with a vascular problem. Emphasis has been placed throughout on careful preoperative assessment particularly at the sites of arterial involvement so that the most appropriate reconstruction technique can be selected. Meticulous attention to operative detail during each stage of a vascular reconstruc tion remains the basis for success. For this reason the various procedures in this book are described in step-by-step fashion aided by a large number of drawings. An updated bibliography citing the work of other authors is also included. Vascular surgery by its very nature introduces changes in vessel compliance and geometry and these may be the starting point for subsequent complications. In addition, complications may occur as a result of progression of the underlying vascular disorder. An appreciable portion of this work has therefore been devoted to the prevention, recognition and treatment of these complications.