More than a procedural guide, the text represents a guide to decision-making highlighting individual anatomy, patient screening, selection of procedure, surgical technique, avoidance of pitfalls, and management of potential complications. -Patient-centered approach highlights patient outcomes in the choice of surgical options. -Detailed descriptions of vascular anatomy, including anatomic variations, help tailor surgical approaches to each patient. -Procedural information weighs the pros and cons of open surgery, such as carotid endarterectomy (CEA), versus carotid angioplasty and stents (CAS). -Comparisons of open and intravascular procedures help readers make informed therapeutic choices for each patient.