Many patients have doubts about whether elderly people can tolerate vascular surgery, so, can elderly patients tolerate vascular surgery or not? Master Yan, 83, was discharged today after a successful recovery from bypass surgery 7 days ago because of severe lower limb ischemia, and Master Li, 85, is going to undergo lower limb vascular stent surgery tomorrow because of lower limb ischemia. Nowadays, with the improvement of living standards and the aging of the population, there are more and more elderly patients in vascular surgery, and about 1/3 of the patients admitted to our vascular surgery department are over 70 years old. Elderly patients inevitably suffer from organ decompensation and more or less combined with some underlying diseases, all of which make the patients’ ability to tolerate surgical blows seriously reduced. However, with the continuous improvement of medical technology, anesthesia safety and perioperative management, especially the development of minimally invasive techniques, most vascular surgeries can be completed by simple transdermal puncture under local anesthesia, so that advanced age is no longer a contraindication to vascular surgery. Patients of advanced age (over 75 years old), who previously had to be “abandoned” by doctors, can now successfully undergo minimally invasive vascular surgery and have the hope of recovery. Of course, surgery in elderly patients requires strict preoperative evaluation, selection of a reasonable and appropriate surgical approach, and careful pre- and post-operative management to minimize the occurrence of surgical complications.