Abstract: ［Abstract］Objective　To summarize the methods and experience of surgical treatment of abdominal aortic aneurysm. Methods　The clinical data of 12 patients with abdominal aortic aneurysm treated in our hospital from August 2010 to December 2014 were analyzed retrospectively. All patients were diagnosed by B ultrasound， CT， MRI and DSA，and the surgical treatment plan was established. Open surgical resection and artificial vascular graft were performed in 8 cases and endovascular repairing other 4 cases. Results　All the operations were performed successfully with no perioperative mortality. One case of type II internal leakage and 1 case of pulmonary infection were observed. Conclusions　The importance attached to perioperative treatment and strict selection of indications and treatment can increase the safety of the surgical performance of abdominal aortic aneurysm.