The European Society for Vascular Surgery (ESVS) released the ESVS 2024 Clinical Practice Guidelines on the Management of Abdominal Aorto-Iliac Artery Aneurysms, providing a comprehensive and detailed overview of diagnostic and treatment strategies for abdominal aortic aneurysms and iliac artery lesions. Based on the best available evidence as of August 2023, the guidelines include 160 recommendations according to the revised European Society of Cardiology grading system. This new edition features 59 additional recommendations compared to the 2019 version. Key topics covered in the guidelines include quality control, epidemiology, and diagnostic screening, management of small abdominal aortic aneurysms, elective repair of abdominal aortic aneurysms, management of ruptured and symptomatic abdominal aortic aneurysms, and management of complex abdominal aortic aneurysms, with evidence-based summaries and graded recommendations provided. These guidelines are of significant value for guiding clinical practice in vascular surgery for abdominal aorto-iliac artery aneurysms in domestic settings. However, it is essential to tailor individualized diagnosis and treatment plans to the specific conditions of local patients. This article interprets relevant sections of the guidelines for academic reference and discussion.