The Vascular Surgery Section has embarked on one of the most exciting advances in vascular surgery in years. East Carolina University was chosen as one of the only sites on the East Coast to test endovascular grafts in the treatment of abdominal aortic aneurysm disease. The goal of this treatment is to stent the aneurysm from the inside using interventional radiological techniques. Like any investigational protocol procedure, there are strict selection criteria for patient to be enrolled in this study. Based on the extent of the aneurysmal disease, the surgeon decides whether a tube graft of a bifurcated graft is necessary. Certainly, the morbidity rate should be reduced markedly with smaller incisions, less musculoskeletal trauma, and less of a physiologic insult. In a patient population with many comorbities this technique will have significant impact. The early national results for this protocol have been excellent. Our experience at PCMH has mirrored the nationwide success with most patients being discharged on postoperative day one or two.