Abstract
Guidelines for the management of an abdominal aortic aneurysm vary among vascular surgery societies. The debate between endovascular and open repair for elective repair is still on while an attempt is made to draw a balance between scientific evidence, cost-effective health care, and providing what is best for the patient. As endovascular hardware, software, and skills of the vascular surgeons improve, is the scalpel getting blunt? Will open surgical repair be a forgotten twin in the management of aortic surgery or should a conscious effort be made to preserve this skill? It is time to have guidelines relevant to the Indian subcontinent that encompasses these issues.
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