Under the auspices of the American Heart Association, a Committee on Vascular Surgery reports on minimum and ideal standards. Foremost among many recommendations are the following: (1) That a surgeon performing arterial reconstructions be Board qualified and have major responsibility for the performance of at least 40 reconstructions during 24 months' training. (2) That in order to maintain proficiency, he should perform a minimum of 30 arterial reconstructions yearly. (3) That the American Board of Surgery and/or the American Board of Thoracic Surgery accept responsibility for certification of vascular surgeons. (4) That certain vascular operations not be performed unless ancillary services such as intensive care units, operating room radiology, renal dialysis, and neurologic and nephrologic consultation be available. (5) That vascular surgeons keep standardized and detailed records so that their work may be readily judged by its results.