The Advancement of Vascular Surgery since the eighties. During the last two decades, Vascular Surgery became a specialty, vascular technics and materials were greatly improving and surgical indications have been rationalized. Results greatly improved. However they currently came up against an incompressible rate of complications. It explains the increasing place of endovascular therapies and sporadic experiments of laparoscopic surgery. As all procedures remain associated with early and late risks, vascular surgeons should systematically monitor their results in order to maintain them at the best level.