Peripheral vascular disease will be addresed through peer discussion and resident/student education pertaining to common and uncommon general and vascular surgery patients. Special attention will be placed on identifying and treating common causes of morbidity and mortality associated with surgical patients.  Despite advances in medicine morbidity and mortality rates remain a constant challenge for practicing surgeons.  Knowledge of these issues is required to make improvements in our practice and to learn from our colleagues complications helps to improve our future competence and performance.