87-year-old male with a 1 month history of an enlarging pulsatile right groin mass. 15 years prior the patient had an aorto-bifemoral bypass graft placed for iliac artery occlusive disease and claudication. The patient did not want the open surgical repair that was offered. I performed an endovascular repair in 45 minutes. The advantages of an endovascular approach versus an open surgical procedure are clear - safer, faster recovery, no general anesthesia, almost no risk of infection, and no large groin incision.