The technique of fenestrated endovascular repair (F-EVAR) is once again a technique evolution in endovascular repair, which allows the endovascular reconstruction of branches of the aorta, and the minimally invasive endovascular therapy for the short-neck and juxtarenal abdominal aortic aneurysm (J-AAA) that previously may not be achieved by conventional approaches. In this paper, the author presents the technical background, current status and limitations of this technique, and deems that F-EVAR can be regarded as a classic in the development of aortic endovascular surgery from both conceptual and technical levels, but its limitations should be understood for proper selection of its indications.