Problem statement - definitions; clinical evaluation; investigation - office tests, radiologic assessment, arteriography; developing an operative strategy - exposure of the infrarenal aorta, exposure of the pararenal aorta, transcrural exposure of the lower thoracic and supracelia abdominal aorta, exposure of the total abdominal aorta by medial visceral rotation, thoracoretroperitoneal approach to the thoracoabdominal aorta (Pillsbury incision); procedures on the infrarenal segment - aorto-iliac endarteriectomy, infrarenal aortic aneurysm, combined aneurysmal and occlusive disease, temporary exclusion bypass, inflammatory aneurysms, aneurysms and horseshoe kidney, aortocaval fistula, ruptured infrarenal abdominal aneurysm; control strategies on the juxtarenal segment - justarenal aneurysm; procedures in the pararenal aorta - isolated pararenal aortic atherosclerosis, branches of the pararenal aortic segment, in situ branched autografts, bilateral aortorenal reconstruction, ex-vivo aortorenal autograft repair; procedures on the paravisceral aorta angiography of the paravisceral segment, visceral thromboendartectomy, antegrade bypass, combined paravisceral and pararenal aortic disease, visceral artery compression, surgical methods, visceral artery aneurysms, reconstruction of the thoracoabdominal aorta, thoracoabdominal aneurysms, aortic dysplasias.