Vascular surgery is a surgical subspecialty in which the diseases of vascular system or lymphatic circulation, veins, and arteries will be managed by the medical therapy, surgical reconstruction, and minimally-invasive catheter procedures. The specialty surpassed from general surgery and cardiac surgery additionally minimally invasive techniques which are instigated by interventional radiology. The vascular surgeon is skilled in the management and diagnosis of diseases that can affect all parts of the vascular system excluding those of the brain and heart. Interventional cardiologist and cardiothoracic surgeons will manage the disease of vessels of the heart. Interventional neurologists and neurosurgeons will manage surgical disease of the vessel in the brain (intracranial aneurysms). Vascular surgery comprises surgery of carotid arteries, aorta, and lower extremities which will include the femoral, iliac, and tibial arteries. It also involves surgery of vein when conditions like may-Thurner syndrome occur and also for varicose veins. In some places, the vascular surgery will also include dialysis access surgery and transplant surgery. In the first world countries, arterial and venous disease are treated by nonoperative varicose vein sclerotherapy treatment, and laser treatments are supplanting major surgeries rapidly. These latest procedures provide reasonable outcomes which are comparable to surgery with an advantage of less hospital stay with less morbidity and mortality rates. The durability of endovascular arterial procedures is usually adequate, especially when seen in the context of their common clinical usage which is an arterial disease that occurs in elderly patients and generally associated with concurrent significant patient's comorbidities principally ischemic heart disease.