Peripheral arterial disease (PAD) may cause claudication and critical limb ischemia. Currently, the therapeutic options for complex PAD involving the common femoral artery (TASC C and TASC D) include traditional open surgery and hybrid surgery, and the latter is becoming increasingly preferred in clinical practice in recent years. However, there is no relevant literature or guidelines providing detailed operation procedures and efficacy evaluation of hybrid surgery at present. The author, based on the experience of a single center and literature review, systematically describes the hybrid technology as a guide for clinical practice.