There is a wide spectrum of office-based vascular surgery procedures that can be performed safely and efficiently as an outpatient. Based off patient comorbidities, ASA classification and required periprocedural sedation, endovascular procedures greatly outnumber open vascular procedures in the office. The most common types of office-based vascular surgery procedures treat peripheral arterial disease, venous disease, and hemodialysis access-related malfunction. Office-based vascular surgery provides a convenient alternative setting for straightforward vascular procedures with a wide variety of treatment options.