Objective: To investigate the methods for reconstruction of the supra-aortic branches during thoracic endovascular aortic repair (TEVER). Methods: The clinical data of 45 patients undergoing TEVER in Peking University People’s Hospital from December 2001 to March 2014 were retrospectively analyzed. Results: A total of 64 supra-aortic branches that included 6 innominate arteries, 1 right common carotid artery, 21 left common carotid arteries, and 36 subclavian arteries, were reconstructed by hybrid technique, chimney technique and branched endografts respectively. The technical success rate was 100%, and endoleak was found in 7 cases and 4 cases died within 30 days after operation. Follow-up was obtained in 39 patients for 2 to 89 months, during which time, one case died of suspicious cerebral infraction and 2 cases died of causes not related to thoracic aortic disease; one endoleak persisted and all the bypass and chimney stents were patent. Conclusion: TEVER following supra-aortic branch reconstruction by hybrid surgery, chimney technique and branched endograft is safe and feasible. Although its short-term effect is satisfactory, its long term effect requires further observation.