Bypass in-situ surgical technique was applied in 49 cases of femorodistal arterial reconstructions. The operative technical details, as well as intra- and postoperative complications are discussed. A patency of the bypass in 87.5% after 18-month following are documented as well as limb salvation in 97.6%. The technical advantage of the bypass in-situ method are discussed and a recommendation for its appliance in suitable cases is given.