We demonstrated successful laparoscopic surgical treatment of atherosclerosis of abdominal aorta and lower limb arteries (laparoscopic infrarenal aortofemoral replacement). Laparoscopic surgery takes into account all technical features and advantages of this approach. Postoperative outcomes are characterized by lower number of complications and injuries. Higher pain-free walking distance and restoration of arterial pulsation throughout the entire left lower limb were also the results of surgery. Thanks to this treatment, we were able to provide effective early mobilization of the patient and shorter hospital stay. Laparoscopy in abdominal aortic surgery is a fairly young and ambitious technique, as well as one of the most promising and advanced ones in endoscopic surgery. At certain experience, this approach is effective for any procedures with minimal blood loss and damage to tissues and organs. As a result, this will ensure favorable recovery and shorter postoperative period.