This chapter deals entirely with the vascular surgery and anti-coagulant therapy. Among the vascular surgery, the technique for varicose vein operation, embolectomy from different sites of the arterial trees has been described. In addition, emergency and elective reconstructive vascular surgery has been described in detailed. Among these techniques, abdominal aortic aneurysm has been included in this section. Amputation of the thigh and amputation of the leg below the knee have been described.