Minimally invasive treatment for aortic lesions has been realized with the emergence of endovascular era. Treating high risk and complicated aortic diseases with minimal traumatic techniques will be one of the future directions of aortic surgery. With the rapid improvement of endovascular instruments and development of endovascular techniques, many vascular surgery diseases previously dependent only on open surgery, have now been applicable to endovascular treatment. It is believed that minimally invasive endovascular interventions will be the mainstream practice in vascular surgery during the forthcoming two decades.