Abstract: Objective: To evaluate suitable surgical protocols chosen for different types of peripheral arterial occlusive disease（PAOD）,and its effect to the long-term patency rate.Methods: 80 cases of PAOD were grouped,reviewed with their follow-up to compare the longterm effect of different surgical strategies.Results: The short term patency rate in this group was 98.5%.the cumulative patency rate of 1 year,3 years,5 years was 82%,71%,57%,respectively.The 5 year patency rate for suprainguinal bypass was 85% in this group.And in those infrainguinal bypass cases,the 5 year patency rate was 66% for vein graft,and 41% for PTFE graft.Conclusion: Comprehensive preparation and individualized surgical procedure should be made for each PAOD patient to decrease the mortality and complication,and improve the long term treatment effect.