[Abstract] Purpose Discussion of lower extremity arterial occlusive disease indications for the surgical treatment of hybrid options, surgical methods, and analysis of the effect. Methods Retrospective analysis of the hospital from 2005 to 2008 to cross vascular surgery in 20 cases of lower extremity arterial occlusive disease. According to the exploration of patients involved in the case of hybrid line treatment of surgery. Results 95% efficient in the near future. The average post-treatment ankle / brachial ratio (ABI) to raise 0.56, or dorsal posterior tibial artery pulse of 8, accounting for 40%. Conclusion Lower extremity arterial occlusive disease hybrid vascular surgery is an effective treatment for complex arterial occlusive disease patients than in a single surgery or endovascular treatment, with a complement each other, reducing trauma, security features, to the greatest degree of To save the limb.