The Western Vascular Institute was created to provide a highly specialized team, comprising surgeons, clinicians, engineers, scientists and information technologists, whose focus is the management of vascular disease. The WVI was set up in 2001 as an integrated cohesion of multiple peripheral specialties relating to Vascular Surgery in the West of Ireland. The components of our practice are 1. Management of vascular disorders; 2. Delivery of state-of-the-art diagnostic and cutting-edge therapeutic modalities in clinical care; 3. Participation in vascular research, 4. Teaching tomorrow’s providers of Endovascular Specialist. The Western Vascular Institute has allowed its individual physicians to maintain their unique areas of expertise in a centre of excellence while at the same time fostering a shared goal of effectively managing patients with vascular disorders and delivering care in a multi-disciplinary single setting.