Objective: The distal external iliac, common femoral, profunda femoral and proximal superficial femoral arteries are often affected by arteriosclerosis obliterans, particularly in patients complicated with diabetes or during dialysis. We performed endovascular surgery for arteries in the inguinal region in 20 patients. Patients: We performed an operation for 23 legs in 20 patients. The surgical procedures consisted of longitudinal incision of the occlusive artery, endarterectomy and artificial graft pathing to dilate stenosis. Results: The longest follow-up term for these cases was 8 years and patency was confirmed in the latest examination in all patients. postoperatively. Conclusion: For intricate arteriosclerotic obstruction, endovascular surgery is favorable to intravascular dilatation with a catheters in regard to reduced complications and side effects, while treated patients show excellent long term outcomes.