A great majority of abdominal aortic aneurysm are treated with endovascular aortic repair (EVAR) in current practice. EVAR has lower peri-procedural mortality and morbidity compared to open surgical repair. Anatomic factors such as aneurysm neck morphology, iliac anatomy, and access vessel anatomy need careful assessment for the successful performance of EVAR. Evolving technology and techniques are allowing more patients to be treated with EVAR with better long-term outcomes.