The authors conducted 170 various reconstructive operations on the abdominal aorta and iliac arteries in patients with atherosclerotic lesions in this segment. The late results of surgical treatment were studied in 135 patients in follow-up periods of one to 15 years. In 92 (68.1%) patients the lower extremity was preserved for a lengthy period of time and functioned satisfactorily. The results of bifurcation shunts were better than those of unilateral shunting and endarterectomy. The authors' experience allows the conclusion that the use of Soviet-made vascular prostheses in reconstructive operations on the abdominal aorta and iliac vessels and iliac vessels is fully justified.